# TAHIRIH JENSEN D.O. PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366643777
- **Authorized official:** TAHIRIH THEONE JENSEN D,O. (OWNER)
- **Authorized official phone:** (928) 282-7322

## Contact information

- **Practice address:** 6050 HIGHWAY 179 STE 5, SEDONA, AZ 86351-7986
- **Practice address phone:** (928) 282-7322
- **Practice address fax:** (928) 282-7350
- **Mailing address:** PO BOX 21450, SEDONA, AZ 86341-1450
- **Mailing address phone:** (928) 282-7322
- **Mailing address fax:** (928) 282-7350

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 3985 | AZ | Yes |

## Other

- **Enumeration date:** 05/31/2007
- **Last updated:** 12/04/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 882797 | — | AZ |