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Individual
STEPHANIE T PHAN
Active
Individual
STEPHANIE T PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
10774A
WY
207R00000X
Internal Medicine Physician
115268
AK
207R00000X
Internal Medicine Physician
16716
NV
207R00000X
Internal Medicine Physician
53132
AZ
207R00000X
Internal Medicine Physician
Primary
A114260
CA
207R00000X
Internal Medicine Physician
DR.0057775
CO
207R00000X
Internal Medicine Physician
M-13534
ID
207R00000X
Internal Medicine Physician
MD-18837
HI
207R00000X
Internal Medicine Physician
MD179044
OR
207R00000X
Internal Medicine Physician
MD2016-0833
NM
207R00000X
Internal Medicine Physician
MD60688829
WA
207R00000X
Internal Medicine Physician
MED-PHYS-LIC-50617
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902846306
GROUP NPI
CA
01
—
GR0100430
GROUP MEDICAL
CA
01
—
W18762
GROUP MEDICARE
CA
Enumeration date
12/13/2010
Last updated
08/12/2019
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