Individual
DR. THERESA R NIEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
650 E INDIAN SCHOOL RD # 111-D, PHOENIX, AZ 85012-1839
(602) 277-5551
(602) 222-6591
Mailing address
PO BOX 750, WADDELL, AZ 85355-0750
(602) 277-5551
(602) 222-6591
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
23344
AZ
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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