Provider Demographics
NPI:1023057700
Name:NGUYEN, DUNG T (DO)
Entity type:Individual
Prefix:DR
First Name:DUNG
Middle Name:T
Last Name:NGUYEN
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Gender:M
Credentials:DO
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Mailing Address - Street 1:5055 E BROADWAY BLVD
Mailing Address - Street 2:ARIZONA COMMUNITY PHYSICIANS PC SUITE A-100
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-3640
Mailing Address - Country:US
Mailing Address - Phone:520-327-0460
Mailing Address - Fax:520-795-0225
Practice Address - Street 1:7340 E SPEEDWAY BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710-1352
Practice Address - Country:US
Practice Address - Phone:520-547-7047
Practice Address - Fax:520-547-7061
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2010-02-26
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Provider Licenses
StateLicense IDTaxonomies
AZ2530207R00000X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F1580Medicare UPIN