Individual
DR. IRENE T MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2940 E. BANNER GATEWAY DR., SUITE 450, GILBERT, AZ 85234
(480) 256-6444
(480) 256-3682
Mailing address
2940 E. BANNER GATEWAY DR., SUITE 450, GILBERT, AZ 85234
(480) 256-6444
(480) 256-3682
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A158679
CA
390200000X
Student in an Organized Health Care Education/Training Program
MT210927
PA
Other
Enumeration date
05/13/2010
Last updated
11/12/2020
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