Nha T Lien Md Pc | |
14674 W Mountain View Blvd Ste 200 Surprise AZ 85374-2706 | |
(909) 239-4700 | |
Not Available |
Full Name | Nha T Lien Md Pc |
---|---|
Speciality | Internal Medicine |
Location | 14674 W Mountain View Blvd, Surprise, Arizona |
Authorized Official Name and Position | Nha Thanh Lien (DIRECTOR) |
Authorized Official Contact | 9092394700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nha T Lien Md Pc Po Box 2568 Litchfield Park AZ 85340-2568 Ph: (909) 239-4700 | Nha T Lien Md Pc 14674 W Mountain View Blvd Ste 200 Surprise AZ 85374-2706 Ph: (909) 239-4700 |
NPI Number | 1043569569 |
---|---|
Provider Enumeration Date | 08/30/2012 |
Last Update Date | 08/30/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043569569 | NPI | - | NPPES |
1649217357 | Other | IND NPI | |
495123 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 42619 (Arizona) | Primary |
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