Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 53991 | AZ |
NPI | 1134443799 |
---|---|
Provider Name | Mai Kim Doan |
First Address | Sun City West, AZ 85375-5287 |
Second Address | Sun City West, AZ 85375 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2010 |
Last Update Date | 13/03/2019 |