Individual
DUC T. NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
211 SAINT FRANCIS DR, SUITE 15, CAPE GIRARDEAU, MO 63703-5049
(573) 331-3333
(573) 331-3334
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
2001016566
MO
207RI0011X
Interventional Cardiology Physician
Primary
2001016566
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437193026
—
CA
05
—
201452307
—
MO
01
—
751243
HEALTHLINK
MO
01
—
P00360399
RR MEDICARE
MO
Enumeration date
06/15/2006
Last updated
02/24/2021
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