Organization
PANDA MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHIOMA N IWEHA M.D. (OWNER)
(623) 241-9028
Entity
Organization
Contact information
Practice address
6760 W THUNDERBIRD RD STE E100, PEORIA, AZ 85381-5048
(623) 241-9028
(623) 241-9029
Mailing address
6760 W THUNDERBIRD RD STE E100, PEORIA, AZ 85381-5048
(623) 241-9028
(623) 241-9029
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26965
AZ
Other
Enumeration date
05/03/2007
Last updated
02/03/2020
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