Individual
LINH C NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.S., CPE
Contact information
Practice address
14780 W. MOUNTAIN VIEW BLVD., SUITE 110, SURPRISE, AZ 85374-7280
(623) 374-7774
(623) 240-1110
Mailing address
14780 W. MOUNTAIN VIEW BLVD., SUITE 110, SURPRISE, AZ 85374-7280
(623) 374-7774
(623) 240-1110
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35198
AZ
207Q00000X
Family Medicine Physician
35198
AZ
207QA0505X
Adult Medicine Physician
Primary
35198
AZ
207R00000X
Internal Medicine Physician
35198
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113942
—
AZ
01
—
35198
LICENSE
AZ
01
—
AFE82737
RETIRED CA MED LICENSE
CA
Enumeration date
04/06/2006
Last updated
01/12/2016
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