Individual
DR. PHUONG DUONG THOAI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1055 W FAIRVIEW ST STE B, COLFAX, WA 99111-5106
(509) 397-2675
Mailing address
2755 SILVER CREEK RD STE 111&113, BULLHEAD CITY, AZ 86442-7904
(928) 704-7163
(928) 704-7140
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
007988
AZ
208600000X
Surgery Physician
Primary
OP61447850
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2014
Last updated
11/16/2023
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