Individual
DANIEL MANH TIEN NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3550
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3550
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
009111
AZ
207L00000X
Anesthesiology Physician
Primary
208D00000X
VA
Other
Enumeration date
02/17/2015
Last updated
07/19/2021
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