Individual
DR. ANH PHAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
820 E 17TH ST, CHEYENNE, WY 82001-4714
(307) 632-2434
Mailing address
820 E 17TH ST, CHEYENNE, WY 82001-4714
(307) 632-2434
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
130-T1
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2017
Last updated
07/15/2017
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