Individual
PHUONG VU NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(714) 861-0879
Mailing address
10106 E BAYLEY CT, WICHITA, KS 67207-3936
(714) 861-0879
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
05-40797
KS
Other
Enumeration date
02/18/2013
Last updated
11/14/2018
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