Individual
MR. MAURICE PHUONG NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913
(719) 524-2949
Mailing address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1247
NE
208D00000X
General Practice Physician
1247
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2013
Last updated
03/07/2024
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