Individual
TERRY KLEMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
16251 N CAVE CREEK RD, PHOENIX, AZ 85032-2976
(480) 882-4545
(480) 882-5004
Mailing address
7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 85020-4668
(480) 882-4545
(480) 882-4545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
009093
AZ
208D00000X
General Practice Physician
009093
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101843
—
AZ
Enumeration date
06/01/2018
Last updated
04/28/2023
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