Individual
DR. TEOFILO T TECSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
405 W GRAND AVE, DAYTON, OH 45405-4720
(937) 226-3200
(937) 226-7863
Mailing address
PO BOX 711131, CINCINNATI, OH 45271-1131
(937) 293-0247
(937) 293-0969
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35034538T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000289506
ANTHEM
OH
05
—
0202917
—
OH
01
—
P00237440
RAILROAD MEDICARE
OH
Enumeration date
09/12/2006
Last updated
07/08/2007
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