Individual
PHUOC NAM VAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
13555 W MCDOWELL RD STE 205, GOODYEAR, AZ 85395-2626
(623) 295-1190
Mailing address
5788 N KRISTI LN, LITCHFIELD PARK, AZ 85340-3824
(714) 383-0793
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
008120
AZ
207R00000X
Internal Medicine Physician
OT017279
PA
Other
Enumeration date
06/28/2016
Last updated
01/20/2025
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