Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 36.003967 | OH |
NPI | 1023547957 |
---|---|
Provider Name | Phuoc Bui |
First Address | Cincinnati, OH 45242-3124 |
Second Address | Blue Ash, OH 45242 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2017 |
Last Update Date | 30/07/2020 |