Individual
DR. PHUONG D NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
A115470
CA
208200000X
Plastic Surgery Physician
MD456013
PA
208600000X
Surgery Physician
245008
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
DR.0070716
CO
2086S0122X
Plastic and Reconstructive Surgery Physician
S1195
TX
390200000X
Student in an Organized Health Care Education/Training Program
245008
NY
Other
Enumeration date
10/16/2008
Last updated
09/01/2023
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