Individual
LUAN PHU NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1244 N MARINE CORPS DR, TAMUNING, GU 96913-4308
(671) 647-8262
(671) 647-5252
Mailing address
1244 N MARINE CORPS DR, TAMUNING, GU 96913-4308
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-1898
GU
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
07/20/2010
Last updated
05/30/2024
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