Individual
PHU THAI DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5520 HIDDEN TRAIL LN, WARR ACRES, OK 73132-5825
(405) 626-3340
Mailing address
5520 HIDDEN TRAIL LN, WARR ACRES, OK 73132-5825
(405) 626-3340
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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