Doctor Name: | MR. VIET NGUYEN |
NPI Number: | 1063470136 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 5151398-8905 |
Business Practice Address: | 1612 Ute Blvd 112 Park City, UT - 840987500 |
Business Phone Number: | 4356553309 |
Business Fax Number: | 4356553392 |
Mailing Address: | 1612 Ute Blvd, 112 PARK CITY |
State: | UT |
Postal Code: | 840987500 |
Phone Number: | 4356553309 |
Fax Number: | 4356553392 |
NPI Enumeration Date: | 05/01/2006 |
NPI Last Update Date: | 11/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 5151398-8905 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |