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Individual

MR. THONG TIEN BUI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1698 E MCANDREWS RD, STE 280, MEDFORD, OR 97504
(541) 204-1699
(971) 471-5205
Mailing address
1698 E MCANDREWS RD STE 280, MEDFORD, OR 97504-5590
(541) 204-1699
(971) 471-5205

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD19890
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
023679001
REGENCE BCBS OF ORE
OR
05
081419
OR
Enumeration date
02/24/2006
Last updated
02/19/2025
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