Individual
DR. PHUNG NGOC LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1001 WILLOW CREEK RD STE 1200, PRESCOTT, AZ 86301-1614
(928) 458-2850
(928) 458-2848
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
1932424066
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286413
—
AZ
Enumeration date
03/31/2010
Last updated
04/10/2025
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