Organization
MEDIRAD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINH C NGUYEN M.D. (CMIO/CEO)
(623) 374-7774
Entity
Organization
Contact information
Practice address
12425 W BELL RD, SUITE 200, SURPRISE, AZ 85378-9006
(623) 374-7774
(623) 240-1110
Mailing address
12425 W BELL RD, SUITE 200, SURPRISE, AZ 85378-9006
(623) 374-7774
(623) 240-1110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/16/2011
Last updated
09/11/2020
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