Phung Kim Nguyen, PA-C

NPI #1033988522 in Glenpool, Oklahoma

Provider Information

NPI Number: 1033988522
Entity Type: Individual
Name: Phung Kim Nguyen, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 26, 2023
Last Updated: Dec 20, 2024

Practice Location

Address: 12190 S WACO AVE STE C
City: Glenpool
State: Oklahoma
ZIP Code: 74033-5661
Phone: (918) 936-2882

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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