Individual
DR. PHUOC DANG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
525 LILLY RD NE, OLYMPIA, WA 98506-5101
(360) 493-7525
Mailing address
525 LILLY RD NE, OLYMPIA, WA 98506-5101
(360) 493-7525
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OL61544185
WA
207Q00000X
Family Medicine Physician
Primary
OP70123966
WA
Other
Enumeration date
04/10/2024
Last updated
05/15/2026
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