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Individual
PHUONG T. NGUYEN
Active
Individual
PHUONG T. NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
R8G80
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202403606
—
MO
01
—
250004623
RR MEDICARE
MO
Enumeration date
06/27/2006
Last updated
08/22/2019
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