Healthcare Provider Details

I. General information

NPI: 1679576177
Provider Name (Legal Business Name): DRORY S TENDLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 W RAY RD STE 201
CHANDLER AZ
85226-2472
US

IV. Provider business mailing address

21001 N TATUM BLVD SUITE 1630-480
PHOENIX AZ
85050-4206
US

V. Phone/Fax

Practice location:
  • Phone: 480-776-6844
  • Fax: 480-246-8940
Mailing address:
  • Phone: 480-776-6844
  • Fax: 480-246-8940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number32962
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number32962
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: