Healthcare Provider Details

I. General information

NPI: 1811635642
Provider Name (Legal Business Name): HP & RP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2022
Last Update Date: 06/27/2022
Certification Date: 06/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 S IRONWOOD DR STE 102
APACHE JUNCTION AZ
85120-5047
US

IV. Provider business mailing address

7650 S MCCLINTOCK DR STE 103
TEMPE AZ
85284-1673
US

V. Phone/Fax

Practice location:
  • Phone: 480-740-7426
  • Fax:
Mailing address:
  • Phone: 480-740-7426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: HA LE PHAM
Title or Position: CEO
Credential: PA-C
Phone: 480-740-7426