Individual
DAT NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7520 TOTEM BEACH RD, TULALIP, WA 98271-6160
(360) 651-4525
(360) 651-9427
Mailing address
7520 TOTEM BEACH RD, TULALIP, WA 98271-6160
(360) 651-4525
(360) 651-9427
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00033474
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8206393
—
WA
Enumeration date
07/24/2006
Last updated
07/08/2007
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