Organization
THERON C TILGNER D O LLC
Active
Other names
Orthopedic Innovations
Organization subpart
No
Provider details
NPI number
Authorized official
THERON C TILGNER DO (OWNER)
(928) 854-3333
Entity
Organization
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
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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