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Individual
DR. PHILIP PHAN
Active
Individual
DR. PHILIP PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A118484
CA
2084P0800X
Psychiatry Physician
MD439436
PA
2084P0800X
Psychiatry Physician
Primary
MT192216
PA
Other
Enumeration date
06/26/2008
Last updated
10/18/2021
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