Individual
NGUYET MINH PHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
791 CHAMBERS RD, AURORA, CO 80011-7112
(303) 923-6300
Mailing address
11059 E BETHANY DR STE 200, AURORA, CO 80014-2637
(303) 923-6300
(303) 923-6897
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9801750
—
CO
Enumeration date
06/30/2017
Last updated
06/30/2017
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