Healthcare Provider Details

I. General information

NPI: 1760401962
Provider Name (Legal Business Name): NGA NGUYEN TURNER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NGA PHUONG NGUYEN MD

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 09/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 E FONTANERO ST
COLORADO SPRINGS CO
80907-7529
US

IV. Provider business mailing address

320 E FONTANERO ST
COLORADO SPRINGS CO
80907-7529
US

V. Phone/Fax

Practice location:
  • Phone: 719-578-3199
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number38754
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: