Organization
VU PLASTIC & COSMETIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUGH LAI VU MD, MPH,FACS (BOARD CERTIFIED PLASTIC SURGEON)
(209) 476-7074
Entity
Organization
Contact information
Practice address
1617 SAINT MARKS PLZ, SUITES E & F, STOCKTON, CA 95207-6423
(209) 476-7074
(209) 476-7092
Mailing address
1617 SAINT MARKS PLZ, SUITES E & F, STOCKTON, CA 95207-6423
(209) 476-7074
(209) 476-7092
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A61905
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A061905
MEDICAL LICENSE
CA
Enumeration date
03/04/2009
Last updated
03/04/2009
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