MARK A TIEDE

PHOENIX, AZ
NPI1962486076
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: AZ  RN077787)
Enumeration Date2005-12-01
Last Update Date2007-10-31
Business Address
-- MARK A TIEDE CRNA
5777 E MAYO BLVD
PHOENIX, AZ 85054-4502
Phone number: 480-301-8000
Mailing Address
-- MARK A TIEDE CRNA
5777 E MAYO BLVD
PHOENIX, AZ 85054-4502
Phone number: 480-301-8000
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