Individual
TAM LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 461-2074
Mailing address
799 N COUNTRY CLUB RD, TUCSON, AZ 85716-4505
(520) 461-2074
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
77178
AZ
Other
Enumeration date
04/26/2021
Last updated
08/04/2025
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