Individual
THERESA A. COVELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
223 CIBEQUE CIRCLE ROAD, SAN CARLOS, AZ 85550
(928) 475-7219
(928) 475-7370
Mailing address
PO BOX 208, SAN CARLOS, AZ 85550-0208
(928) 475-7219
(928) 475-7370
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS010257L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
827321
—
AZ
Enumeration date
08/30/2006
Last updated
05/15/2024
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