Individual
ALEX H.D. PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2488 N CALIFORNIA ST, STOCKTON, CA 95204-5508
(209) 948-3333
(209) 948-2665
Mailing address
2488 N CALIFORNIA ST, STOCKTON, CA 95204-5508
(209) 948-3333
(209) 948-2665
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
A83716
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
A83716
CA
Other
Enumeration date
01/23/2007
Last updated
04/23/2014
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