Individual
MS. BICH HOA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-4646
Mailing address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-4646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3805
AZ
207QA0505X
Adult Medicine Physician
Primary
20A6504
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020A65040
MEDICARE PPIN
CA
Enumeration date
06/28/2006
Last updated
10/26/2009
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