Individual
DR. DUONG THIEU PHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5365 WALNUT AVE, SUITE A, CHINO, CA 91710
(909) 620-1885
Mailing address
5365 WALNUT AVE, SUITE A, CHINO, CA 91710
(909) 620-1885
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
A70551
CA
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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