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NPI Code Detail

MEDICARE: DR. XUAN N VU MD

MEDICARE:  DR. XUAN N VU  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician40886AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285842054
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. XUAN N VU MD
Provider Business Mailing Address
First Line : 8620 N 22ND AVE
Second Line : 200
City : PHOENIX
State : AZ
Zip : 85021-4201
Country : US
Telephone Number : 602-674-6506
Fax Number : 602-674-6512
Provider Business Practice Location Address
First Line : 6036 N 19TH AVE
Second Line : 505
City : PHOENIX
State : AZ
Zip : 85015-2143
Country : US
Telephone Number : 602-841-0721
Fax Number : 602-841-0729
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2007
Last Update Date : 07/06/2009

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Directions to “ DR. XUAN N VU MD” Practice Location

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