Individual
LONG H.T. LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
727 E BETHANY HOME RD STE A101, PHOENIX, AZ 85014
(602) 279-2400
(602) 279-5890
Mailing address
727 E BETHANY HOME RD STE B112, PHOENIX, AZ 85014-2151
(602) 279-2400
(602) 603-1302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MT197666
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011777
—
AZ
Enumeration date
07/05/2010
Last updated
06/29/2018
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