Individual
AI HUONG PHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
12493 UNIVERSITY AVE STE 100, CLIVE, IA 50325-8286
(515) 358-9461
(515) 358-9489
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 358-9461
(515) 358-9489
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
208100000X
MD
208100000X
Physical Medicine & Rehabilitation Physician
Primary
DO-04505
IA
Other
Enumeration date
07/06/2007
Last updated
03/28/2018
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