Individual
DUC THANH DOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7305 N MILITARY TRL, RIVIERA BEACH, FL 33410-7417
(561) 422-6957
Mailing address
12692 RANCHERO WAY, GARDEN GROVE, CA 92843-3027
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
OS20297
FL
390200000X
Student in an Organized Health Care Education/Training Program
20A17786
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/25/2018
Last updated
12/05/2024
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