Individual
DR. ANTHONY VINH PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 326-1297
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
(217) 326-1297
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125.070903
IL
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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