Doctor Name: | DR. THERESA ANN CISLER |
NPI Number: | 1356495899 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | AZ2001 |
Business Practice Address: | 800 N Swan Rd # 128 Tucson, AZ - 857111276 |
Business Phone Number: | 5207953772 |
Business Fax Number: | 5203262737 |
Mailing Address: | 800 N Swan Rd, Ste 128 TUCSON |
State: | AZ |
Postal Code: | 857111276 |
Phone Number: | 5207953772 |
Fax Number: | 5203262737 |
NPI Enumeration Date: | 01/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | AZ2001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |