Individual
DR. DAT D NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1739 E BEVERLY AVE STE 203, KINGMAN, AZ 86409-3593
(928) 757-3133
(928) 757-3136
Mailing address
3269 N STOCKTON HILL RD, KINGMAN, AZ 86409-3619
(928) 757-2101
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
36837
AZ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD2025-0009
NM
207RP1001X
Pulmonary Disease Physician
Primary
36837
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052035
—
NJ
05
—
210973
—
AZ
Enumeration date
09/09/2005
Last updated
10/08/2025
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