Provider Demographics
NPI:1730342585
Name:TIONA, SUSAN M (MD)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:M
Last Name:TIONA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2119 PAYTON CIR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80915-1330
Mailing Address - Country:US
Mailing Address - Phone:970-412-3413
Mailing Address - Fax:719-434-9630
Practice Address - Street 1:2119 PAYTON CIR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80915-1330
Practice Address - Country:US
Practice Address - Phone:970-412-3413
Practice Address - Fax:719-434-9630
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2021-07-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ54643207Q00000X
TN58432207Q00000X
CO36388207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine