Phong Ta

NPI #1083298509 in Phoenix, Arizona

Provider Information

NPI Number
1083298509
Entity Type
Individual
Name
Phong Ta
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Podiatrist
Enumeration Date
May 11, 2021
Last Updated
Aug 6, 2024

Practice Location

Address
7301 N 16TH ST STE 202
State
Arizona
ZIP Code
85020-5265
Phone
(602) 753-2345

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Podiatrist

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