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Organization

KIM PHAN DO PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KIM M PHAN DO (OWNER)
(502) 418-4451
Entity
Organization

Contact information

Practice address
1180 N INDIAN CANYON DR STE E218, PALM SPRINGS, CA 92262-4885
(760) 416-4800
(760) 416-4903
Mailing address
PO BOX 2466, PALM SPRINGS, CA 92263-2466
(760) 416-4800
(760) 416-4903

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary

Other

Enumeration date
10/07/2020
Last updated
10/07/2020
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