Tredennick, Tara Doyle

Tredennick, Tara Doyle is an individual health care provider with primary practice located at 13400 E Shea Blvd , Scottsdale AZ 85259-5452. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Tredennick, Tara Doyle can be contacted via phone (480) 301-8000.

Contact Information

Primary practice address
13400 E Shea Blvd Scottsdale AZ 85259-5452
Phone: (480) 301-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X MT190102 Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 45747 Arizona
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X DR.0054036 Colorado

Profile Details

NPI number 1801092119
LBN Legal business name Tredennick, Tara Doyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2007
Last updated Jan 9th, 2024 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801092119 NPPES
Arizona MEDICAID 719989

Popular Providers