Individual
THANH DANAE VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 BEVER GRADE ROAD, LAPWAI, ID 83540-0367
(208) 843-2271
(208) 621-4995
Mailing address
PO BOX 367, LAPWAI, ID 83540-0367
(208) 843-2271
(208) 621-4995
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M-12786
ID
207V00000X
Obstetrics & Gynecology Physician
MD00040493
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8381873
—
WA
Enumeration date
06/16/2005
Last updated
11/15/2019
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