person
Phong Ta
Student in an Organized Health Care Education/Training Program in Phoenix, Arizona
NPI 1083298509

Phong Ta is a Student in an Organized Health Care Education/Training Program based in San Jose, AZ. Phong Ta practices in Phoenix, AZ. The NPI Number for Phong Ta is 1083298509 and holds a License No. (Arizona).

The current practice location address for Phong Ta is 650 E Indian School Rd, Phoenix, AZ and can be reached out via phone at 602-277-5551.

Location: 650 E Indian School Rd, Phoenix, AZ, 95132-1712
person
Provider Profile Details
NPI Number
1083298509
Provider Name
Phong Ta
Credential
Provider Entity Type
Individual
Gender
Male
Address
650 E Indian School Rd, Phoenix, AZ, 95132-1712
Phone Number
602-277-5551
Fax Number
Provider Enumeration Date
05/11/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
650 E Indian School Rd
City
State
Zip
85012-1839
Phone Number
602-277-5551
Fax Number
person
Provider Business Mailing Address Details
Address
650 E Indian School Rd
City
State
Zip
85012-1839
Phone Number
602-277-5551
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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