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PHONG TA

Podiatrist

NPI: 1083298509IndividualAccepts Medicare

Specialties, Licenses & Credentials

Student in an Organized Health Care Education/Training Program

Code: 390200000X

PodiatristPrimary

Podiatrist

Code: 213E00000X

POD-001122.(AZ)

CMS Specialties

PrimaryPODIATRY

Education

OTHER

Class of 2021

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Contact & Hours

Address
7301 N 16TH ST STE 202
PHOENIX, AZ 85020

Quick Facts

NPI
1083298509
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
5

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