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Individual

DR. PHO M. NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
613 23RD ST STE 520, ASHLAND, KY 41101-2878
(606) 393-0190
(606) 393-5169
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-6200
(606) 408-6612

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35083806
OH
2085R0204X
Vascular & Interventional Radiology Physician
Primary
41780
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2658815
OH
05
3810012582
WV
05
7100031820
KY
Enumeration date
04/26/2006
Last updated
01/24/2024
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