IndividualActive
Ovictor Leo Tesoro, M.D.
NPI 1356584759 · Neurology with Special Qualifications in Child Neurology Physician · Phoenix, AZ
Provider details
- NPI number
- 1356584759
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 47955 (AZ)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 47955 (AZ)
Allopathic & Osteopathic Physicians
Practice location
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone: (602) 344-5011
Approximate (ZIP-level) locationGet directions
Mailing address
4301 N 21st St
Phoenix, AZ 85016-5552
Registry dates
- Enumerated
- 2009-04-14
- Last updated
- 2015-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.