Individual
DR. ELIZABETH VU PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3180 FAIRVIEW PARK DR STE 500, FALLS CHURCH, VA 22042-4583
(703) 538-2066
Mailing address
3180 FAIRVIEW PARK DR STE 500, FALLS CHURCH, VA 22042-4583
(703) 538-2066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102203751
VA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
0102203751
VA
Other
Enumeration date
06/14/2010
Last updated
05/15/2024
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