Individual
JIM PHUOC DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
411 LAUREL ST, STE 3170, DES MOINES, IA 50314-3017
(515) 283-0463
(515) 283-0794
Mailing address
411 LAUREL ST STE 3170, DES MOINES, IA 50314-3005
(515) 283-0463
(515) 283-0794
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35166
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0295287
—
IA
Enumeration date
08/30/2005
Last updated
10/17/2025
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