Individual
EI EI THWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1930 E THOMAS RD, PHOENIX, AZ 85016-7711
(602) 532-1000
Mailing address
250 S 21ST ST, EASTON, PA 18042-3851
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
73323
AZ
Other
Enumeration date
06/11/2020
Last updated
08/11/2025
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