Individual
MICKEY MANH-PHI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1100 E OSBORN RD APT 308, PHOENIX, AZ 85014-5263
(262) 444-1273
Mailing address
1100 E OSBORN RD APT 308, PHOENIX, AZ 85014-5263
(262) 444-1273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/02/2023
Last updated
01/02/2023
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