Search › Arizona › 171400000X
Anthony Tiedemann
NPI 1538801709 · on the registry since 2022
Practice
- Address
- 806 S 56th Ave Ste 1b
Phoenix, AZ 85043 - Phone
- (602) 429-0447
- Organisation at this address
- Functional Medicine Center Of Arizona
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171400000X
171400000X
- Sex
- Male
- Record last updated
- 2022-04-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona