Individual
MR. MARTIN TAI NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1747 E MORTEN AVE STE 303, PHOENIX, AZ 85020-7625
(602) 589-0370
(602) 589-0650
Mailing address
3118 W THOMAS RD STE 713, PHOENIX, AZ 85017-5308
(602) 456-2821
(602) 347-6272
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/06/2021
Last updated
10/07/2021
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