Individual
TERESA K POOLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5670 N PROFESSIONAL PARK DR STE 100, TUCSON, AZ 85704-7878
(520) 618-1010
(520) 784-7040
Mailing address
4811 E GRANT RD STE 261, TUCSON, AZ 85712-2776
(520) 202-0490
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6679
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093478000
—
MN
Enumeration date
12/28/2005
Last updated
04/09/2018
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