Le, Phung Ngoc

Le, Phung Ngoc is an individual health care provider with primary practice located at 1001 Willow Creek Road Ste. 1200, Prescott AZ 86301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Le, Phung Ngoc can be contacted via phone (928) 458-2850.

Contact Information

Primary practice address
1001 Willow Creek Road Ste. 1200 Prescott AZ 86301
Fax: (928) 458-2848
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 1932424066 Arizona

Profile Details

NPI number 1932424066
LBN Legal business name Le, Phung Ngoc
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2010
Last updated Nov 18th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932424066 NPPES
Arizona MEDICAID 286413

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