Organization
MI LE TRAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MI LE TRAN MD (PRESIDENT)
(602) 443-0400
Entity
Organization
Contact information
Practice address
11110 N TATUM BLVD, SUITE 103, PHOENIX, AZ 85028-1607
(601) 443-0400
(602) 443-0401
Mailing address
11110 N TATUM BLVD, SUITE 103, PHOENIX, AZ 85028-1607
(601) 443-0400
(602) 443-0401
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
22239
AZ
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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