Organization
TREVOR PHAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR PHAN MD (OWNER)
(775) 530-5886
Entity
Organization
Contact information
Practice address
801 E WILLIAMS AVE, FALLON, NV 89406-3052
(775) 530-5886
(702) 453-5741
Mailing address
PO BOX 17976, RENO, NV 89511-1034
(775) 530-5886
(702) 453-5741
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
12765
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12765
MEDICAL LIC
NV
Enumeration date
03/19/2011
Last updated
01/31/2023
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