Individual
PAUL TUAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 WILLOW CREEK RD STE 3300, PRESCOTT, AZ 86301-1614
(928) 408-4000
(928) 458-2118
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
23708
AZ
208800000X
Urology Physician
Primary
23708
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
518308
—
AZ
Enumeration date
10/25/2006
Last updated
01/30/2025
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