Individual
DR. TICH-HAO MACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6114 N 59TH AVE STE 4, GLENDALE, AZ 85301-7769
(623) 937-8643
Mailing address
6114 N 59TH AVE STE 4, GLENDALE, AZ 85301-7769
(623) 937-8643
(623) 934-1249
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
16640
AZ
208D00000X
General Practice Physician
Primary
16640
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267717
—
AZ
Enumeration date
11/29/2005
Last updated
05/15/2019
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