Organization
NHA T LIEN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NHA THANH LIEN M.D. (DIRECTOR)
(909) 239-4700
Entity
Organization
Contact information
Practice address
14674 W MOUNTAIN VIEW BLVD, STE 200, SURPRISE, AZ 85374-2706
(909) 239-4700
Mailing address
PO BOX 2568, LITCHFIELD PARK, AZ 85340-2568
(909) 239-4700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42619
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649217357
IND NPI
—
05
—
495123
—
AZ
Enumeration date
08/30/2012
Last updated
08/30/2012
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