Individual
MARCOS ANDRES TERAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 S OCOTILLO AVE, BENSON, AZ 85602-6403
(520) 586-2261
Mailing address
1525 N CAMINO MIRAFLORES, TUCSON, AZ 85745-1604
(520) 390-4201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53332
AZ
207Q00000X
Family Medicine Physician
A129082
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271283
—
AZ
Enumeration date
08/10/2012
Last updated
05/05/2020
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