Most Relevant Information
Provider Data
| NPI Number: | 1003196452 |
| Provider Name: | MATTHEW E TIERNEY RDCS |
| Entity Type: | Individual |
| Taxonomy Code: | 246XS1301X |
| Specialty: | Specialist/Technologist Cardiovascular |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/17/2011 |
| Last Updated: | 08/17/2011 |
Provider Practice Location
167 NORTH MAIN STREET
TUBA CITY
AZ
860450600
Practice Location Phone/Fax
| Phone: | 9282832501 |
| Fax: | 9282832677 |
Provider Mailing Location
PO BOX 600
TUBA CITY
AZ
860450600
Provider Mailing Phone/Fax
| Phone: | 9282832501 |
| Fax: | 9282832677 |