Individual
TIMA TINH LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3700 N 24TH ST, SUITE 210, PHOENIX, AZ 85016-6534
(602) 840-0681
(602) 957-1570
Mailing address
3700 N 24TH ST STE 210, PHOENIX, AZ 85016-6536
(602) 840-0681
(602) 957-1570
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
006050
AZ
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
006050
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z161100
PTAN
—
Enumeration date
07/28/2009
Last updated
04/14/2016
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