| Doctor Name: | DR. ANTONY NGUYEN VANBANG |
| NPI Number: | 1679747216 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 13674 |
| Business Practice Address: | Gordon Clinic 807 N Ash Gordon, NE - 69343 |
| Business Phone Number: | 3082822000 |
| Business Fax Number: | 3082821428 |
| Mailing Address: | Gordon Clinic, 807 N Ash GORDON |
| State: | NE |
| Postal Code: | 69343 |
| Phone Number: | 3082822000 |
| Fax Number: | 3082821428 |
| NPI Enumeration Date: | 04/15/2008 |
| NPI Last Update Date: | 09/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 13674 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |