Individual
DR. TERRY S WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045-0600
(928) 283-2501
(928) 283-2677
Mailing address
PO BOX 600, TUBA CITY, AZ 86045-0600
(928) 283-2501
(928) 283-2677
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
35095568
OH
207Y00000X
Otolaryngology Physician
Primary
44503
AZ
207Y00000X
Otolaryngology Physician
A67230
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A672300
—
CA
05
—
3810018267
—
WV
Enumeration date
11/17/2005
Last updated
06/21/2011
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