Individual
QUAN M LUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
10506 SOUTH RIVA RIDGE LOOP, CONNOR TROOP MEDICAL CLINIC BLDG 10506, FORT DRUM, NY 13602-0000
(315) 772-8443
Mailing address
10506 SOUTH RIVA RIDGE LOOP, CONNOR TROOP MEDICAL CLINIC BLDG 10506, FORT DRUM, NY 13602-0000
(315) 772-8443
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
1051
NE
Other
Enumeration date
06/21/2012
Last updated
08/29/2013
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