Organization
THERON C TILGNER D O LLC
Active
Other names
ORTHOPEDIC INNOVATIONS
Organization subpart
No
Provider details
NPI number
Authorized official
THERON C TILGNER D.O. (PRESIDENT)
(928) 854-3333
Entity
Organization
Contact information
Practice address
387 LAKE HAVASU AVE S STE 101, LAKE HAVASU CITY, AZ 86403-9306
(928) 854-3333
(928) 854-3335
Mailing address
387 LAKE HAVASU AVE S STE 101, LAKE HAVASU CITY, AZ 86403-9306
(928) 854-3333
(928) 854-3335
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
999328
—
AZ
Enumeration date
03/14/2006
Last updated
01/14/2025
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