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Bichle Thi Nguyen, DO
General Practice Physician in Mountain Home Afb, Idaho
NPI 1104350024

Bichle Thi Nguyen is a General Practice Physician based in Mountain Home Afb, ID. Bichle Thi Nguyen practices in Mountain Home Afb, ID and has the professional credentials of DO. The NPI Number for Bichle Thi Nguyen is 1104350024 and holds a License No. 0102205386 (Idaho).

The current practice location address for Bichle Thi Nguyen is 90 Hope Dr Bldg 6000, Mountain Home Afb, ID and can be reached out via phone at 208-828-7401.

Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID, 83648-1062
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104350024
Provider Name
Bichle Thi Nguyen
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
90 Hope Dr Bldg 6000, Mountain Home Afb, ID, 83648-1062
Phone Number
208-828-7401
Fax Number
Provider Enumeration Date
04/18/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0102205386 01 VA VIRGINIA BOARD OF MEDICINE
institution
Provider Business Practice Location Address Details
Address
90 Hope Dr Bldg 6000
City
Mountain Home Afb
State
Idaho
Zip
83648-1062
Phone Number
208-828-7401
Fax Number
person
Provider Business Mailing Address Details
Address
90 Hope Dr Bldg 6000
City
Mountain Home Afb
State
Idaho
Zip
83648-1062
Phone Number
208-828-7401
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
0102205386 (Virginia)
Definition
Definition to come...
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