Individual
PETER NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 E MCDOWELL RD, BANNER GOOD SAMARITAN MEDICAL CENTER, PHOENIX, AZ 85006-2612
(602) 839-2296
Mailing address
1111 E MCDOWELL RD, BANNER GOOD SAMARITAN, PHOENIX, AZ 85006-2612
(617) 335-9310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R74511
AZ
Other
Enumeration date
05/05/2014
Last updated
07/31/2014
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