| Tahirih Jensen D.o. Pc | |
|
6050 Highway 179 Ste 5 Sedona AZ 86351-7986 | |
| (928) 282-7322 | |
| (928) 282-7350 |
| Full Name | Tahirih Jensen D.o. Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 6050 Highway 179 Ste 5, Sedona, Arizona |
| Authorized Official Name and Position | Tahirih Theone Jensen (OWNER) |
| Authorized Official Contact | 9282827322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tahirih Jensen D.o. Pc Po Box 21450 Sedona AZ 86341-1450 Ph: (928) 282-7322 | Tahirih Jensen D.o. Pc 6050 Highway 179 Ste 5 Sedona AZ 86351-7986 Ph: (928) 282-7322 |
| NPI Number | 1366643777 |
|---|---|
| Provider Enumeration Date | 05/31/2007 |
| Last Update Date | 12/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366643777 | NPI | - | NPPES |
| 882797 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3985 (Arizona) | Primary |
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