Provider Demographics
NPI:1780828640
Name:DUONG, TAP V (DC)
Entity Type:Individual
Prefix:DR
First Name:TAP
Middle Name:V
Last Name:DUONG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1849 PASEO SAN LUIS
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-4613
Mailing Address - Country:US
Mailing Address - Phone:520-458-1577
Mailing Address - Fax:520-458-1580
Practice Address - Street 1:1849 PASEO SAN LUIS
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-4613
Practice Address - Country:US
Practice Address - Phone:520-458-1577
Practice Address - Fax:520-458-1580
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-22
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8029111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor