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NPI Code Detail

MEDICARE: JOANNE NGOCDUNG HO PA-C

MEDICARE: JOANNE NGOCDUNG HO PA-C
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
1363AM0700XMedical Physician Assistant6430AZ

General Provider Information

NPI Number : 1942759279
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANNE NGOCDUNG HO PA-C
Provider Business Mailing Address
First Line : 1343 N ALMA SCHOOL RD
Second Line : STE 160
City : CHANDLER
State : AZ
Zip : 85224-5901
Country : US
Telephone Number : 480-963-1853
Fax Number : 480-963-1854
Provider Business Practice Location Address
First Line : 44572 W BOWLIN RD
Second Line :
City : MARICOPA
State : AZ
Zip : 85138-4558
Country : US
Telephone Number : 520-568-2245
Fax Number : 520-568-2316
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2016
Last Update Date : 04/21/2017

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