Individual
DR. OVICTOR LEO ROLDAN TESORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
Mailing address
4301 N 21ST ST, PHOENIX, AZ 85016-5552
(602) 344-1691
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
47955
AZ
Other
Enumeration date
04/14/2009
Last updated
03/09/2015
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