MEDICARE: ANH-TUAN TONG DO

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1962297283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANH-TUAN TONG DO

Provider Business Mailing Address
First Line	:	4700 LAS VEGAS BLVD NORTH
Second Line	:
City	:	NELLIS AFB
State	:	NV
Zip	:	89191-6601
Country	:	US
Telephone Number	:	702-653-2273
Fax Number	:

Provider Business Practice Location Address
First Line	:	4700 LAS VEGAS BLVD NORTH
Second Line	:
City	:	NELLIS AFB
State	:	NV
Zip	:	89191-6601
Country	:	US
Telephone Number	:	702-653-2273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2025
Last Update Date	:	03/12/2026

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Directions to “ ANH-TUAN TONG DO” Practice Location

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