Individual
NGOC BAO THI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4400 GRANT BLVD STE 103, YUKON, OK 73099-0038
(405) 467-5340
(405) 467-5341
Mailing address
14024 QUAIL POINTE DR, OKLAHOMA CITY, OK 73134-1006
(405) 419-8465
(405) 419-7745
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
33120
OK
207R00000X
Internal Medicine Physician
33120
OK
Other
Enumeration date
06/06/2017
Last updated
07/16/2021
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