Individual
MICHAEL THANH NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1920 E CAMBRIDGE AVE STE 302, PHOENIX, AZ 85006-1464
(602) 933-5200
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
34955
AZ
2088P0231X
Pediatric Urology Physician
Primary
34955
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104636
—
AZ
Enumeration date
01/20/2006
Last updated
02/17/2025
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