Individual
AMY L PANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
8880 E DESERT COVE AVE, SCOTTSDALE, AZ 85260-6746
(480) 314-6670
(480) 257-1997
Mailing address
PO BOX 6423, CHANDLER, AZ 85246-6423
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
980380
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
534986
—
AZ
Enumeration date
07/12/2010
Last updated
04/24/2015
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