MEDICARE: PHUNG LE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1245021831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHUNG LE

Provider Business Mailing Address
First Line	:	PO BOX 811
Second Line	:
City	:	PAULDEN
State	:	AZ
Zip	:	86334-0811
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 811
Second Line	:
City	:	PAULDEN
State	:	AZ
Zip	:	86334-0811
Country	:	US
Telephone Number	:	805-754-0710
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2025
Last Update Date	:	05/14/2025

Similar Medicare Providers

1033390810 — DIXIE L EDDY
Practice Location Address:

940 E LATIGO CT
PAULDEN, AZ
86334-4903

Practice Phone: 928-830-0196
Practice Fax:

1588997928 — HEALTH IN MOTION LLC
Practice Location Address:

21615 N HACKAMORE LN
PAULDEN, AZ
86334-4613

Practice Phone: 928-925-4388
Practice Fax: 928-636-9894

1760797963 — CARRIE-ANN WESCOGAME RN
Practice Location Address:

820 W AHONEN RD
PAULDEN, AZ
86334-2848

Practice Phone: 928-717-3241
Practice Fax:

1396034104 — AUTUMN WINDS HOME HEALTH & HOSPICE
Practice Location Address:

25755 N CHAMPAGNE LN
PAULDEN, AZ
86334-3420

Practice Phone: 928-925-3263
Practice Fax:

1568966349 — MISS CHRISTINA LEE BRANSCUM
Practice Location Address:

3900 W BIG CHINO RD
PAULDEN, AZ
86334-3143

Practice Phone: 928-777-3280
Practice Fax:

1184497182 — TAYLOR BUCKHOLZ LMT
Practice Location Address:

24125 N MARBLEHEAD AVE
PAULDEN, AZ
86334-3205

Practice Phone: 928-273-9453
Practice Fax:

Directions to “ PHUNG LE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.