Individual
ETHAN T PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 Q ST FL 3, SACRAMENTO, CA 95816-7058
(916) 733-3400
(916) 733-5940
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A170167
CA
Other
Enumeration date
03/22/2016
Last updated
12/12/2024
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