DARAROTH TONY LAM

PHOENIX, AZ
NPI1467236356
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: AZ  295609)
Enumeration Date2023-08-22
Last Update Date2024-02-08
Business Address
DARAROTH TONY LAM NP
15650 N BLACK CANYON HWY STE 245B
PHOENIX, AZ 85053-4041
Phone number: 602-675-2747
Mailing Address
DARAROTH TONY LAM NP
2678 W MONTGOMERY DR
CHANDLER, AZ 85224-7854
Phone number: 480-577-5323