Tommie Foxworth
Specialist, Prosthetics Case Management in Mesa, AZ. Individual provider (NPI-1).
NPI number1669907150
StatusActive
Last updated in NPPESApr 22, 2017
Details
- NPI
- 1669907150
- Entity type
- Individual (NPI-1)
- Name
- Tommie Foxworth
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 22, 2017
- Last updated
- Apr 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1744P3200X | Specialist, Prosthetics Case Management | 202 | AZ | Yes |
Practice location
1616 E Main StSuite 102-103
Mesa, AZ 85203-9071
Phone 602-349-2579 · Fax 480-832-0299
Mailing address
7440 E Main St09
Mesa, AZ 85207-8300
Phone 602-425-9308
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