Organization
EAST VALLEY PLASTIC SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KHANG NGOC THAI MD (PLASTIC SURGEON)
(480) 894-8873
Entity
Organization
Contact information
Practice address
600 S. DOBSON RD, E-36, CHANDLER, AZ 85224
(480) 894-8873
(480) 894-8874
Mailing address
600 S. DOBSON RD SUITE E-36, EAST VALLEY PLASTIC SURGERY PC, CHANDLER, AZ 85224
(480) 894-8873
(480) 894-8874
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
31020
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
758948
—
AZ
Enumeration date
02/14/2007
Last updated
05/10/2012
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