Provider Demographics
NPI:1689795700
Name:SWARTZ, TARA SAE-IN (NMD)
Entity Type:Individual
Prefix:DR
First Name:TARA
Middle Name:SAE-IN
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9180 E DESERT COVE AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6254
Mailing Address - Country:US
Mailing Address - Phone:480-993-3331
Mailing Address - Fax:
Practice Address - Street 1:9180 E DESERT COVE AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6254
Practice Address - Country:US
Practice Address - Phone:480-993-3331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ06-926175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath