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Quan M Luong, DO
General Practice Physician in Fort Drum, New York
NPI 1366705600

Quan M Luong is a General Practice Physician based in Fort Drum, NY. Quan M Luong practices in Fort Drum, NY and has the professional credentials of DO. The NPI Number for Quan M Luong is 1366705600 and holds a License No. 1051 (New York).

The current practice location address for Quan M Luong is 10506 South Riva Ridge Loop, Fort Drum, NY and can be reached out via phone at 315-772-8443.

Location: 10506 South Riva Ridge Loop, Fort Drum, NY, 13602-0000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366705600
Provider Name
Quan M Luong
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
10506 South Riva Ridge Loop, Fort Drum, NY, 13602-0000
Phone Number
315-772-8443
Fax Number
Provider Enumeration Date
06/21/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10506 South Riva Ridge Loop
City
Fort Drum
State
New York
Zip
13602-0000
Phone Number
315-772-8443
Fax Number
person
Provider Business Mailing Address Details
Address
10506 South Riva Ridge Loop
City
Fort Drum
State
New York
Zip
13602-0000
Phone Number
315-772-8443
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
1051 (Nebraska)
Definition
Definition to come...
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