BAN GIA TRUONG

PEORIA, IL
NPI1396955266
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CA  20A9831)
Enumeration Date2007-05-22
Last Update Date2009-12-15
Business Address
Dr. BAN GIA TRUONG D.O., PhD
530 NE GLEN OAK AVE
PEORIA, IL 61637-0001
Phone number: 309-655-6710
Mailing Address
Dr. BAN GIA TRUONG D.O., PhD
4207 W HOLLOW CREEK DR
PEORIA, IL 61615-5635
Phone number: 916-425-6959
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