Individual
DR. JOHN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 STADIUM DRIVE, MORGANTOWN, WV 26506-9193
(304) 598-6925
Mailing address
PO BOX 9193, MORGANTOWN, WV 26506-9193
(304) 598-6925
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
233738
MA
207W00000X
Ophthalmology Physician
23805
WV
207W00000X
Ophthalmology Physician
M7472
TX
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
23805
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810016031
—
WV
Enumeration date
06/15/2007
Last updated
04/12/2022
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