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Individual

BINH DUONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
350 W THOMAS RD, PHOENIX, AZ 85013
(602) 406-5590
(602) 406-7170
Mailing address
3030 N CENTRAL AVE STE 1001, PHOENIX, AZ 85012-2716
(602) 460-4786
(916) 636-4358

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2625
AZ
208M00000X
Hospitalist Physician
Primary
2625
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
142612
AZ
01
AZ0747700
BC/BS OF AZ
AZ
01
P00117931
RR MEDICARE
AZ
Enumeration date
03/25/2006
Last updated
08/16/2019
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