Individual
THEODORE LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4496
(602) 406-6540
Mailing address
500 W THOMAS RD STE 500, PHOENIX, AZ 85013-4220
(602) 406-4000
(602) 406-6498
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
77801
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2020
Last updated
08/14/2025
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