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Individual

DUC K TRIEU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2212 WILBORN AVE, SOUTH BOSTON, VA 24592-1630
(434) 572-8921
(434) 572-2063
Mailing address
2212 WILBORN AVE, PO BOX 10, SOUTH BOSTON, VA 24592-1630
(434) 572-8921
(434) 572-2063

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101239403
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PEINDING
VA
01
PENDING
PENDING
Enumeration date
06/20/2006
Last updated
11/02/2010
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