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:
Health care specialties
| Specialty | Code | License # | 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 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801092119 | NPPES |
| Arizona | MEDICAID | 719989 |
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