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Individual

DR. VIET QUOC NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2525 NE 139TH ST, VANCOUVER, WA 98686-2719
(360) 882-2778
Mailing address
PO BOX 873010, VANCOUVER, WA 98687-3010
(360) 882-2778

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD60359915
WA
207R00000X
Internal Medicine Physician
4301094116
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1114153459
WA
Enumeration date
06/01/2009
Last updated
07/07/2015
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