SearchArizona103TC0700X

Tara Krog, PHD

NPI 1710057104 · on the registry since 2006

Practice

Address
2916 E Pierce
Phoenix, AZ 85004
Phone
(602) 344-5982
Fax
(480) 344-2114

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2011-10-07

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