Provider Demographics
NPI:1972131217
Name:HUYNH, VINSON DIEN VINH
Entity Type:Individual
Prefix:
First Name:VINSON
Middle Name:DIEN VINH
Last Name:HUYNH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 N CAMPBELL AVE RM 4401
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85724-0001
Mailing Address - Country:US
Mailing Address - Phone:520-626-7221
Mailing Address - Fax:
Practice Address - Street 1:1501 N CAMPBELL AVE RM 4401
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85724-1629
Practice Address - Country:US
Practice Address - Phone:520-626-7221
Practice Address - Fax:520-626-6943
Is Sole Proprietor?:No
Enumeration Date:2020-03-31
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program