| Mi Le Tran Md Pc | |
|
11110 N Tatum Blvd Suite 103 Phoenix AZ 85028-1607 | |
| (601) 443-0400 | |
| (602) 443-0401 |
| Full Name | Mi Le Tran Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychosomatic Medicine |
| Location | 11110 N Tatum Blvd, Phoenix, Arizona |
| Authorized Official Name and Position | Mi Le Tran (PRESIDENT) |
| Authorized Official Contact | 6024430400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mi Le Tran Md Pc 11110 N Tatum Blvd Suite 103 Phoenix AZ 85028-1607 Ph: (601) 443-0400 | Mi Le Tran Md Pc 11110 N Tatum Blvd Suite 103 Phoenix AZ 85028-1607 Ph: (601) 443-0400 |
| NPI Number | 1598986630 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598986630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0015X | Psychiatry & Neurology - Psychosomatic Medicine | 22239 (Arizona) | Primary |
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