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Individual

TUNG THANH TRANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6501 TRUXTUN AVE., BAKERSFIELD, CA 93309-0633
(661) 322-2206
(661) 322-7027
Mailing address
PO BOX 6309, BAKERSFIELD, CA 93386-6309
(661) 872-3311
(661) 872-3366

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
35086081
OH
207Y00000X
Otolaryngology Physician
Primary
A108204
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12960065300
BWC
OH
05
2557193
OH
Enumeration date
12/27/2006
Last updated
03/08/2011
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