Individual provider · Type 1 NPI

Ovictor Leo Roldan Tesoro, MD

Neurology with Special Qualifications in Child Neurology Physician · Phoenix, AZ

NPI number 1356584759 Active

Practice location

2601 E Roosevelt St
Phoenix, AZ 85008-4973

Call (602) 344-5011 Map

Mailing address

4301 N 21st St
Phoenix, AZ 85016-5552

Specialties and licenses

TaxonomyCodeLicense
Neurology with Special Qualifications in Child Neurology Physician Primary 2084N0402X47955 (AZ)

Neurology with Special Qualifications in Child Neurology Physician: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

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About NPI 1356584759

Ovictor Leo Roldan Tesoro, MD's National Provider Identifier is 1356584759, issued on Apr 14, 2009. The primary taxonomy on file is Neurology with Special Qualifications in Child Neurology Physician (2084N0402X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 9, 2015.