Individual
PETER HAO-HSIANG PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2001 01585
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
200101585
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89130NJ
—
NC
Enumeration date
12/13/2005
Last updated
09/08/2017
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