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Individual

ANDREW JAMES TERRANELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
20963 SPANISH GRANT DR, SONORA, CA 95370-9500
(989) 528-0795
Mailing address
20963 SPANISH GRANT DR, SONORA, CA 95370-9500
(989) 528-0795

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
36965
AZ
208000000X
Pediatrics Physician
Primary
C140785
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
060012
AZ
Enumeration date
05/16/2007
Last updated
12/07/2016
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