Organization
TAHIRIH JENSEN D.O. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAHIRIH THEONE JENSEN D,O. (OWNER)
(928) 282-7322
Entity
Organization
Contact information
Practice address
6050 HIGHWAY 179 STE 5, SEDONA, AZ 86351-7986
(928) 282-7322
(928) 282-7350
Mailing address
PO BOX 21450, SEDONA, AZ 86341-1450
(928) 282-7322
(928) 282-7350
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3985
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
882797
—
AZ
Enumeration date
05/31/2007
Last updated
12/04/2007
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