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Individual

TOMMY TIEN NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1145 S UTICA AVE, SUITE 460, TULSA, OK 74104-4000
(918) 579-5749
(918) 579-5762
Mailing address
1145 S UTICA AVE, SUITE 460, TULSA, OK 74104-4000
(918) 579-5749
(918) 579-5762

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
27743
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200295030A
OK
Enumeration date
04/19/2010
Last updated
06/21/2019
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