Individual
THIEN TRONG HOANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 529-6111
Mailing address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8981902
ID
208600000X
Surgery Physician
Primary
R81614
AZ
Other
Enumeration date
04/28/2025
Last updated
07/10/2026
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