Individual
BRIAN S PAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 BURNET AVENUE, ML 2020, CINCINNATI, OH 45229-3039
(513) 636-7181
(513) 636-7182
Mailing address
3333 BURNET AVENUE, ML 2020, CINCINNATI, OH 45229-3039
(513) 636-7181
(513) 636-7182
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
35.095806
OH
Other
Enumeration date
05/29/2007
Last updated
03/08/2011
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