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Tai Duong, DO

Emergency Medicine in Kokomo, IN. Individual provider (NPI-1).

NPI number1528022563
StatusActive
Last updated in NPPESAug 12, 2019

Details

NPI
1528022563
Entity type
Individual (NPI-1)
Name
Tai Duong
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Apr 14, 2006
Last updated
Aug 12, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine02002208AINYes

Practice location

1907 W Sycamore St
Kokomo, IN 46901-5148

Phone 765-456-5733

Mailing address

1101 Michigan Ave
Logansport, IN 46947-1528

Phone 574-753-1475

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