Provider Demographics
NPI:1669634853
Name:CARR, TARA FRIEDEL (MD)
Entity Type:Individual
Prefix:DR
First Name:TARA
Middle Name:FRIEDEL
Last Name:CARR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:TARA
Other - Middle Name:ANN
Other - Last Name:FRIEDEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1501 N CAMPBELL AVE
Mailing Address - Street 2:RM 2342C
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85724-0001
Mailing Address - Country:US
Mailing Address - Phone:520-626-8309
Mailing Address - Fax:520-626-6387
Practice Address - Street 1:3838 N CAMPBELL AVE BLDG 2
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719
Practice Address - Country:US
Practice Address - Phone:520-694-1000
Practice Address - Fax:520-694-0114
Is Sole Proprietor?:No
Enumeration Date:2008-06-27
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125051328207R00000X
AZ44399207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine