Individual
THERESA T MAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14155 N 83RD AVE, SUITE @110, PEORIA, AZ 85381-5639
(623) 215-0911
(623) 215-0912
Mailing address
14155 N 83RD AVE, SUITE #110, PEORIA, AZ 85381-5639
(623) 215-0911
(623) 215-0912
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
23281
AZ
Other
Enumeration date
07/16/2006
Last updated
08/13/2008
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