Individual
DR. MICHAEL MAN DUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5715 N 19TH AVE, PHOENIX, AZ 85015-2433
(602) 864-4988
Mailing address
5715 N 19TH AVE, PHOENIX, AZ 85015-2433
(602) 864-4988
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1698
AZ
Other
Enumeration date
07/21/2009
Last updated
12/12/2011
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