Linda Diane Teague, PA-C

NPI #1215994462 in Lakeside, Arizona

Provider Information

NPI Number: 1215994462
Entity Type: Individual
Name: Linda Diane Teague, PA-C
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 28, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2963 W WHITE MOUNTAIN BLVD
City: Lakeside
State: Arizona
ZIP Code: 85929-6257
Phone: (928) 368-0765

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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