Organization
PHOENIX FIRST ASSISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAO KENITH FANG MD (OWNER)
(602) 253-9168
Entity
Organization
Contact information
Practice address
3131 E CLARENDON AVE, SUITE 102, PHOENIX, AZ 85016-7069
(602) 253-9168
(602) 251-3126
Mailing address
3131 E CLARENDON AVE, SUITE 102, PHOENIX, AZ 85016-7069
(602) 253-9168
(602) 251-3126
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421193
—
AZ
Enumeration date
04/07/2009
Last updated
03/07/2014
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