Individual
PHONG TUAN BUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2863 CHURCHILL ST, MEMPHIS, TN 38118-2630
(901) 267-9143
Mailing address
3771 POPLAR AVE, MEMPHIS, TN 38111-6020
(901) 584-8281
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
TN
Other
Enumeration date
10/30/2021
Last updated
10/30/2021
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