Individual
MACKLIN HONG PHUOC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3535 N BELL SCHOOL RD, ROCKFORD, IL 61114-6624
(779) 696-9400
(779) 696-9365
Mailing address
9260 W SUNSET RD STE 110, LAS VEGAS, NV 89148-4903
(702) 916-6904
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036-172332
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2019
Last updated
12/20/2024
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