TALLAN DEPRIEST

PHOENIX, AZ
NPI1548794399
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: GA  82338)
Additional Taxonomies208D00000X General Practice
(Licence: CA  20A18404)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-04-19
Last Update Date2022-03-10
Business Address
TALLAN DEPRIEST
3550 E PINCHOT AVE
PHOENIX, AZ 85018-7434
Phone number: 602-957-4000
Mailing Address
TALLAN DEPRIEST
1628 E SOUTHERN AVE # 935
TEMPE, AZ 85282-5782
Phone number: