Individual
PETER-TRUNG DUC PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 19TH ST S, BIRMINGHAM, AL 35233-1927
(205) 933-8101
Mailing address
1849 LAKE RIDGE RD, BIRMINGHAM, AL 35216-1619
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33401
AL
Other
Enumeration date
03/24/2011
Last updated
07/07/2016
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