NPI
Functional Medicine Center of Arizona
Phone (602) 429-0447 · NPI 1235870205
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2022-04-05
- Last updated
- 2022-04-05
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 806 S 56th Ave Ste 1b
- City
- Phoenix AZ
- Postal code
- 85043-4630
- Phone
- (602) 429-0447
Organization contact
- Name
- Anthony Tiedemann
- Title
- Owner/Clinical Director
- Phone
- (480) 747-0499
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Health & Wellness Coach providers in Phoenix, AZ. 28 with this primary taxonomy in the public file.
Other NPIs in Phoenix, AZ. 44,026 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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