Individual
DR. THERON C TILGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
387 LAKE HAVASU AVE S STE 101, LAKE HAVASU CITY, AZ 86403-9306
(928) 854-3333
(928) 854-3335
Mailing address
387 LAKE HAVASU AVE S STE 101, LAKE HAVASU CITY, AZ 86403-9306
(928) 854-3333
(928) 854-3335
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
3501
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
496324
—
AZ
Enumeration date
03/14/2006
Last updated
02/26/2025
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