Individual
DR. CHAU NGOC NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
802 N RIVERSIDE RD STE G50, SAINT JOSEPH, MO 64507-2510
(816) 671-4888
(816) 671-4890
Mailing address
802 N RIVERSIDE RD STE G50, SAINT JOSEPH, MO 64507-2510
(816) 671-4888
(816) 671-4890
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2004030207
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200387840A
—
KS
05
—
208332304
—
MO
01
—
P00334976
RR MEDICARE
MO
Enumeration date
07/18/2006
Last updated
03/17/2018
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