Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 2530 | AZ |
Y | 111NI0900X | Internist | 2530 | AZ |
N | 207RC0200X | Critical Care Medicine | 2530 | AZ |
NPI | 1023057700 |
---|---|
Provider Name | Dr. Dung T Nguyen |
First Address | Tucson, AZ 85711-3640 |
Second Address | Tucson, AZ 85710-1352 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2006 |
Last Update Date | 26/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F1580 | (02) |