EDWARD OH
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1619437985- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 5757 W THUNDERBIRD RD STE E151, GLENDALE, AZ, 853064685
- Phone
- (602) 865-4570
- Fax
- (602) 865-4575
Specialties & Taxonomies
Unknown
Primary License: AZ #80752