Individual
DANY KIN MOON QUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3241 E SHEA BLVD STE 441, PHOENIX, AZ 85028-3335
(602) 388-1180
(602) 431-2149
Mailing address
4919 E HAZEL DR UNIT 1, PHOENIX, AZ 85044-7776
(024) 311-1526
(024) 312-1496
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20A9422
CA
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
20A9422
CA
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
Primary
4447
AZ
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
4447
AZ
Other
Enumeration date
03/07/2006
Last updated
02/16/2024
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