Md24 Icrp, Inc.

NPI #1720550379 in Surprise, Arizona

Provider Information

NPI Number: 1720550379
Entity Type: Organization
Organization Name: Md24 Icrp, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Dec 20, 2018
Last Updated: Dec 20, 2018

Practice Location

Address: 14780 W MOUNTAIN VIEW BLVD STE 110
City: Surprise
State: Arizona
ZIP Code: 85374-7280
Phone: (623) 374-7774

Authorized Official

Name: DR. LINH NGUYEN, MD
Title: CEO
Phone: (623) 374-7774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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