Individual
DR. CUONG MANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
527 GOTT RD, ENID, OK 73705-5103
(580) 213-7098
Mailing address
527 GOTT RD, ENID, OK 73705-5103
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
02003017A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
7099
OK
208D00000X
General Practice Physician
02003017A
IN
Other
Enumeration date
12/15/2006
Last updated
02/08/2021
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