Individual
UYEN PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
915 OLD FERN HILL RD STE 1, WEST CHESTER, PA 19380-4269
(610) 629-6280
(833) 941-3871
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA067348
PA
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
Primary
MA067348
PA
Other
Enumeration date
08/08/2024
Last updated
07/07/2026
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