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Individual

DR. ISSADA THONGTRANGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14300 N NORTHSIGHT BLVD STE 213, SCOTTSDALE, AZ 85260-3677
(602) 833-2141
(602) 610-3878
Mailing address
4070 E LINCOLN DR, PARADISE VALLEY, AZ 85253-3922
(602) 818-5214
(602) 610-3878

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
45920
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
45920
MEDICAL LICENSE
AZ
Enumeration date
05/22/2007
Last updated
06/25/2024
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