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Individual

ANDY C NGUYEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1201 HEALTH CENTER PKWY, YUKON, OK 73099-6381
(405) 717-6800
(405) 717-7964
Mailing address
5300 N INDEPENDENCE AVE STE 280, OKLAHOMA CITY, OK 73112-5555
(405) 717-6800
(405) 717-7964

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
21800
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100223050A
OK
Enumeration date
08/04/2006
Last updated
03/01/2018
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