TARA MANGUM

PHOENIX, AZ
NPI1932428315
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology
(Licence: AZ  006652)
Additional Taxonomies208000000X Pediatrics
(Licence: GA  76554)
Enumeration Date2010-05-24
Last Update Date2018-09-06
Business Address
TARA MANGUM D.O.
1919 E THOMAS RD
PHOENIX, AZ 85016
Phone number: 602-933-0970
Mailing Address
TARA MANGUM D.O.
3200 E CAMELBACK RD STE 250
PHOENIX, AZ 85018-2327
Phone number: 602-933-1813