Basic Information
| Provider Information | |||||||||
| NPI: | 1447227657 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZHAO | ||||||||
| FirstName: | HAIHONG | ||||||||
| MiddleName: | HELEN | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 19636 N 27TH AVE | ||||||||
| Address2: | SUITE 308 | ||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 850274013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6237801999 | ||||||||
| FaxNumber: | 6235160950 | ||||||||
| Practice Location | |||||||||
| Address1: | 19636 N 27TH AVE | ||||||||
| Address2: | SUITE 308 | ||||||||
| City: | PHOENIX | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 850274013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6237801999 | ||||||||
| FaxNumber: | 6235160950 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/07/2006 | ||||||||
| LastUpdateDate: | 08/20/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 30172 | AZ | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.