Individual
PHILLIP TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1001 WILLOW CREEK RD STE 2200, PRESCOTT, AZ 86301-1614
(928) 445-6025
(928) 778-3026
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO-04744
IA
207RC0000X
Cardiovascular Disease Physician
Primary
007973
AZ
208M00000X
Hospitalist Physician
DO-04744
IA
Other
Enumeration date
06/28/2013
Last updated
02/05/2025
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