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Organization

TERNION PHYSICIAN GROUP, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LILIANA PEREZ (PRACTICE MANAGER)
(623) 505-9880
Entity
Organization

Contact information

Practice address
42104 N VENTURE DR, SUITE D118, ANTHEM, AZ 85086-3823
(623) 505-9880
(623) 505-9880
Mailing address
42104 N VENTURE DR, SUITE D118, ANTHEM, AZ 85086-3823
(623) 505-9880
(623) 505-9880

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2084P0800X
Psychiatry Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
09/29/2016
Last updated
12/03/2024
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