Individual
DR. JEFFREY MANUEL TIOCO
Active
Individual
DR. JEFFREY MANUEL TIOCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01054586A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000207545
ANTHEM
IN
01
—
208965421
FISERV
—
01
—
208965421E
UNICARE
—
01
—
7195342
AETNA
—
01
—
90001346
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
03/07/2007
Last updated
02/21/2011
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