Organization
TELEDOCTORS OF AMERICA LLC
Active
Other names
Teledoctors of America LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS UKUNI OTAVIO (CEO)
(623) 330-3426
Entity
Organization
Contact information
Practice address
25234 W DARREL DR, BUCKEYE, AZ 85326-2554
(623) 330-3426
Mailing address
25234 W DARREL DR, BUCKEYE, AZ 85326-2554
(623) 330-3426
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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