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Individual
CASEY MARIE PHAN
Active
Individual
CASEY MARIE PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
D85427
MD
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD-20036
HI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD459804
PA
Other
Enumeration date
04/16/2013
Last updated
05/29/2024
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