Individual
CHRISTIAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1245 BANNING ST, MARSHFIELD, MO 65706
(417) 269-1940
(417) 269-1948
Mailing address
PO BOX 4046, SPRINGFIELD, MO 65808-4046
(417) 269-5712
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2018004248
MO
Other
Enumeration date
03/02/2018
Last updated
08/22/2018
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