| Territory, PLLC | |
|
1631 W Ina Rd Ste 151 Tucson AZ 85704-1907 | |
| (520) 742-1833 | |
| (520) 742-7548 |
| Full Name | Territory, PLLC |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1631 W Ina Rd Ste 151, Tucson, Arizona |
| Authorized Official Name and Position | Jeanette Wendt (MEMBER) |
| Authorized Official Contact | 5207421833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Territory, PLLC 1631 W Ina Rd Ste 151 Tucson AZ 85704-1907 Ph: (520) 742-1833 | Territory, PLLC 1631 W Ina Rd Ste 151 Tucson AZ 85704-1907 Ph: (520) 742-1833 |
| NPI Number | 1144644527 |
|---|---|
| Provider Enumeration Date | 02/06/2014 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144644527 | NPI | - | NPPES |
| 270041 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (NU) | Primary |
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