Individual
JAYLONG THONGKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9474 N STONEBROOK DR, TUCSON, AZ 85743-5485
(480) 286-1048
Mailing address
9474 N STONEBROOK DR, TUCSON, AZ 85743-5485
(480) 286-1048
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
R74630
AZ
207R00000X
Internal Medicine Physician
R74630
AZ
Other
Enumeration date
06/19/2014
Last updated
05/12/2015
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