Provider Demographics
NPI:1689699050
Name:UNDERWOOD, TANYA (DO)
Entity Type:Individual
Prefix:
First Name:TANYA
Middle Name:
Last Name:UNDERWOOD
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Gender:F
Credentials:DO
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Mailing Address - Street 1:5800 W ARIZONA PAVILIONS DR
Mailing Address - Street 2:UNIT 248
Mailing Address - City:CORTARO
Mailing Address - State:AZ
Mailing Address - Zip Code:85652-2909
Mailing Address - Country:US
Mailing Address - Phone:520-638-5997
Mailing Address - Fax:520-372-2552
Practice Address - Street 1:5800 W ARIZONA PAVILIONS DR
Practice Address - Street 2:UNIT 248
Practice Address - City:CORTARO
Practice Address - State:AZ
Practice Address - Zip Code:85652-2909
Practice Address - Country:US
Practice Address - Phone:520-638-5997
Practice Address - Fax:520-372-2552
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2023-01-26
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Provider Licenses
StateLicense IDTaxonomies
AZ35472084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry