Individual
PHUONG TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5501 JEFFERSON ST NE, STE. 700, ALBUQUERQUE, NM 87109-3437
(505) 872-1002
Mailing address
5501 JEFFERSON ST NE, STE. 700, ALBUQUERQUE, NM 87109-3437
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2014-0027
NM
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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