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NPI Code Detail

MEDICARE: DR. DAVID NGUYEN M.D.

MEDICARE:  DR. DAVID  NGUYEN  M.D.
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
1208200000XPlastic Surgery Physician0116031447VA
2208600000XSurgery PhysicianTRN19445FL
3208D00000XGeneral Practice Physician12346972-1205UT
4208600000XSurgery Physician12346972-1205UT

General Provider Information

NPI Number : 1245624220
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID NGUYEN M.D.
Provider Business Mailing Address
First Line : 1025 E 11400 S STE 103
Second Line :
City : SANDY
State : UT
Zip : 84094-6947
Country : US
Telephone Number : 912-308-6496
Fax Number :
Provider Business Practice Location Address
First Line : 1025 E 11400 S STE 103
Second Line :
City : SANDY
State : UT
Zip : 84094-6947
Country : US
Telephone Number : 912-308-6496
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2015
Last Update Date : 10/31/2022

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Directions to “ DR. DAVID NGUYEN M.D.” Practice Location

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