Organization
DISCHARGE MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINH C NGUYEN M.D. (CEO)
(623) 444-0101
Entity
Organization
Contact information
Practice address
12425 W BELL RD, SUITE 200, SURPRISE, AZ 85378-9002
(623) 374-7774
(623) 240-1110
Mailing address
12425 W BELL RD, SUITE 200, SURPRISE, AZ 85378-9002
(623) 374-7774
(623) 240-1110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35198
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113942
—
AZ
Enumeration date
12/17/2010
Last updated
12/17/2010
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