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Individual
DR. PATRICK PHONG NGUYEN
Active
Individual
DR. PATRICK PHONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14089
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001708039
—
PA
01
—
080127022
PALMETTO
—
01
—
110474
UNLSON
PA
01
—
51393001
UNIVERA
—
01
—
975072
BS
PA
Enumeration date
04/21/2006
Last updated
12/13/2016
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