Individual
DR. BAN GIA TRUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O., PHD
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-6710
Mailing address
4207 W HOLLOW CREEK DR, PEORIA, IL 61615-5635
(916) 425-6959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20A9831
CA
Other
Enumeration date
05/22/2007
Last updated
12/15/2009
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