Organization
TERESA LONGORIA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA LONGORIA MD (OWNER PRESIDENT)
(520) 325-6633
Entity
Organization
Contact information
Practice address
2102 N COUNTRY CLUB RD, SUITE 4, TUCSON, AZ 85716-2831
(520) 325-6633
(520) 325-6644
Mailing address
2102 N COUNTRY CLUB RD, SUITE 4, TUCSON, AZ 85716-2831
(520) 325-6633
(520) 325-6644
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
18725
AZ
Other
Enumeration date
03/15/2007
Last updated
04/20/2008
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