Individual
NGUYET ANH TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 RIDGE ST, SUITE 102, COUNCIL BLUFFS, IA 51503-4643
(712) 396-7890
(712) 396-7895
Mailing address
PO BOX 2797, OMAHA, NE 68103-2797
(402) 354-4230
(402) 354-6171
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
23309
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002587300
—
NE
05
—
1477589844
—
IA
Enumeration date
06/25/2006
Last updated
12/13/2013
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