Individual
MICHAEL LUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
18404 N TATUM BLVD STE 101, PHOENIX, AZ 85032-1511
(602) 992-1900
(602) 485-7450
Mailing address
18404 N TATUM BLVD STE 101, PHOENIX, AZ 85032-1511
(602) 992-1900
(602) 485-7450
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
007148
AZ
207Q00000X
Family Medicine Physician
OT015625
PA
Other
Enumeration date
05/15/2014
Last updated
07/21/2022
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