Individual
ANDREW VUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 N GREEN AVE, PURCELL, OK 73080-1642
(405) 527-6524
(405) 527-6963
Mailing address
16020 PANTHER WAY, EDMOND, OK 73013-1480
(405) 488-8410
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
24161
OK
207Q00000X
Family Medicine Physician
24161
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24161
OKLAHOMA LICENSE
OK
Enumeration date
12/04/2006
Last updated
06/09/2022
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