Individual
JOANNE ROSALYN TOLLERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
U.S. 191 & HOSPITAL DRIVE, CHINLE, AZ 86503-8000
(928) 674-7001
(928) 674-7008
Mailing address
PO BOX PH, CHINLE, AZ 86503-8000
(928) 674-7001
(928) 674-7008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
55167
AZ
207Q00000X
Family Medicine Physician
78395
CA
207Q00000X
Family Medicine Physician
MD19261
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
072368
—
OR
Enumeration date
06/14/2005
Last updated
09/09/2022
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