That Dieu Luong M.D.

NPI 1902957004 - Family Medicine - 207Q00000X

NPI Details
NPI 1902957004
Gender Male
Enumeration Date 01/15/2007
Last Updated 07/09/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2205 N FRESNO ST
SUITE C
FRESNO CA, 93703-2236, US
Phone (559) 225-7000
Fax (559) 225-7016
Business Location
2205 N FRESNO ST
SUITE C
FRESNO CA, 93703-2236, US
Phone (559) 225-7000
Fax (559) 225-7016
Toxanomy
Taxonomy Code 207Q00000X
License State California
License Number A37743
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According to our database, That Dieu Luong M.D. NPI is 1902957004, taxonomy code is 207Q00000X and license number is A37743, license state is located at California. That Dieu Luong M.D. physically located at 2205 N Fresno St, Fresno CA, 93703-2236. NPI Number That Dieu Luong M.D. has the Individual type.

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1902957004 NPI number is provided on an as is basis without warranty of any kind. 1902957004 is maintained by the National Plan & Provider Enumeration System. The contents of That Dieu Luong M.D. are for informational purposes only.