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Individual

JUSTICE HUY DUC TRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3400 N DYSART RD, BUILDING F, STE 121 & 123, AVONDALE, AZ 85392-1003
(623) 792-8397
(623) 544-5187
Mailing address
9520 W PALM LN, SUITE 200, PHOENIX, AZ 85037-4403
(877) 809-5092
(623) 815-9253

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
33525
AZ
207V00000X
Obstetrics & Gynecology Physician
A89473
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
939481
AZ
Enumeration date
09/15/2006
Last updated
04/23/2013
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