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NICOLAS PHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1600 MEDICAL CENTER DR STE B500, HUNTINGTON, WV 25701-3655
(304) 691-1499
Mailing address
1600 MEDICAL CENTER DR STE B500, HUNTINGTON, WV 25701-3655
(304) 691-1499

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
27731
WV
207T00000X
Neurological Surgery Physician
A102866
CA

Other

Enumeration date
02/27/2008
Last updated
07/21/2022
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