Doctor Name: | DR. ANA INGEBORG TEJERO |
NPI Number: | 1043422629 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | |
Business Practice Address: | 1100 F Ave Douglas, AZ - 856071919 |
Business Phone Number: | 5203643285 |
Business Fax Number: | 5203644261 |
Mailing Address: | 1205 F Ave, DOUGLAS |
State: | AZ |
Postal Code: | 856071920 |
Phone Number: | 5203641429 |
Fax Number: | 5203644261 |
NPI Enumeration Date: | 05/04/2007 |
NPI Last Update Date: | 03/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |