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NPI Code Detail

MEDICARE: DR. QUANG HUU NGUYEN

MEDICARE: DR. QUANG HUU NGUYEN
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
1183500000XPharmacistS022744AZ

General Provider Information

NPI Number : 1033635255
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. QUANG HUU NGUYEN
Provider Business Mailing Address
First Line : 5011 W UNION HILLS DR
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-1441
Country : US
Telephone Number : 602-896-0257
Fax Number :
Provider Business Practice Location Address
First Line : 5011 W UNION HILLS DR
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-1441
Country : US
Telephone Number : 602-896-0257
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2017
Last Update Date : 07/21/2022

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Directions to “ DR. QUANG HUU NGUYEN ” Practice Location

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