Individual
MR. NGU QUANG DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
407 CAMPBELL ST, PRESCOTT, AZ 86301-2518
(575) 218-6022
Mailing address
407 CAMPBELL ST, PRESCOTT, AZ 86301-2518
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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