| Anh Tai Nguyen,md | |
|
1819 W 3500 S Ste 1c West Valley City UT 84119-3457 | |
| (801) 975-9707 | |
| Not Available |
| Full Name | Anh Tai Nguyen,md |
|---|---|
| Speciality | Family Medicine |
| Location | 1819 W 3500 S Ste 1c, West Valley City, Utah |
| Authorized Official Name and Position | Anh Tai Nguyen (PRESIDENT) |
| Authorized Official Contact | 8019759707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anh Tai Nguyen,md 1819 W 3500 S Ste 1c West Valley City UT 84119-3457 Ph: (801) 975-9707 | Anh Tai Nguyen,md 1819 W 3500 S Ste 1c West Valley City UT 84119-3457 Ph: (801) 975-9707 |
| NPI Number | 1841497559 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841497559 | NPI | - | NPPES |
| 586162546-008 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 176263-1205 (Utah) | Primary |
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