Doctor Name: | BINGFEN GRACE YU |
NPI Number: | 1023017381 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 33469 |
Business Practice Address: | 9150 W Indian School Rd Suite 118 Phoenix, AZ - 850372384 |
Business Phone Number: | 6029386960 |
Business Fax Number: | 6029386069 |
Mailing Address: | 5620 W Thunderbird Rd, F1 GLENDALE |
State: | AZ |
Postal Code: | 853064636 |
Phone Number: | 6029386960 |
Fax Number: | 6029386069 |
NPI Enumeration Date: | 07/19/2005 |
NPI Last Update Date: | 07/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 33469 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |