Robert Cole Teague MD

NPI 1073506812 - Family Medicine - 207Q00000X

NPI Details
NPI 1073506812
Gender Male
Enumeration Date 08/26/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
5501 N 19TH AVE
STE 106
PHOENIX AZ, 85015-2450, US
Phone (602) 279-2319
Fax (602) 279-1888
Business Location
5501 N 19TH AVE
STE 106
PHOENIX AZ, 85015-2450, US
Phone (602) 279-2319
Fax (602) 279-1888
Toxanomy
Taxonomy Code 207Q00000X
License State Arizona
License Number 3925
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According to our database, Dr. Robert Cole Teague MD NPI is 1073506812, taxonomy code is 207Q00000X and license number is 3925, license state is located at Arizona. Robert Cole Teague MD physically located at 5501 N 19th Ave, Phoenix AZ, 85015-2450. NPI Number Robert Cole Teague MD has the Individual type.

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1073506812 NPI number is provided on an as is basis without warranty of any kind. 1073506812 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Cole Teague MD are for informational purposes only.