Individual
TERESA S WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5651
(602) 344-5578
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(620) 470-5000
(602) 470-5063
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
42680
AZ
207P00000X
Emergency Medicine Physician
CAA84003
CA
207P00000X
Emergency Medicine Physician
ME0096000
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276109200
—
FL
01
—
56394
BCBS
FL
01
—
P00378353
RAILROAD MEDICARE
FL
Enumeration date
06/07/2006
Last updated
01/27/2010
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