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Organization
MI LE TRAN MD PC
Active
Organization
MI LE TRAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MI LE TRAN MD (PRESIDENT)
(602) 443-0400
Entity
Organization
Contact information
Practice address
11110 N TATUM BLVD, SUITE 103, PHOENIX, AZ 85028-1607
(601) 443-0400
(602) 443-0401
Mailing address
11110 N TATUM BLVD, SUITE 103, PHOENIX, AZ 85028-1607
(601) 443-0400
(602) 443-0401
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
22239
AZ
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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