Damore, Tiersa Hw

Damore, Tiersa Hw is an individual health care provider with primary practice located at 6301 S Mcclintock Dr Suite 215, Tempe AZ 85283-3392. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Damore, Tiersa Hw can be contacted via phone (480) 820-6657.

Contact Information

Primary practice address
6301 S Mcclintock Dr Suite 215 Tempe AZ 85283-3392
Fax: (480) 730-0803
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 27567 Arizona

Profile Details

NPI number 1114922119
LBN Legal business name Damore, Tiersa Hw
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jun 5th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114922119 NPPES
Arizona MEDICAID 472176

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