Organization
TERRITORY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE WENDT M.D. (MEMBER)
(520) 742-1833
Entity
Organization
Contact information
Practice address
1631 W INA RD STE 151, TUCSON, AZ 85704-1907
(520) 742-1833
(520) 742-7548
Mailing address
1631 W INA RD STE 151, TUCSON, AZ 85704-1907
(520) 742-1833
(520) 742-7548
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270041
—
AZ
Enumeration date
02/06/2014
Last updated
07/21/2022
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