Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 20-1892 | AZ |
NPI | 1003416611 |
---|---|
Provider Name | Dr. Joseph M Tilchen |
First Address | Arizona City, AZ 85123-2487 |
Second Address | Scottsdale, AZ 85258-5041 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2020 |
Last Update Date | 01/11/2020 |