Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 20440 | AZ |
NPI | 1326007055 |
---|---|
Provider Name | Janet B Teodori |
First Address | Tucson, AZ 85756-7124 |
Second Address | Tucson, AZ 85756-7124 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2006 |
Last Update Date | 30/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
852047 | (05) | AZ |
B35363 | (02) |