Individual
ANDREW NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4840 N CLOVERDALE RD, BOISE, ID 83713-2423
(208) 706-8000
(208) 706-8001
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9271173
ID
Other
Enumeration date
04/05/2022
Last updated
09/24/2025
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