Individual
SANG HOANG PHUOC PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2425 TAYLOR RD, CHESAPEAKE, VA 23321-2201
(757) 215-1800
Mailing address
825 FAIRFAX AVE, NORFOLK, VA 23507-1912
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010220
VA
Other
Enumeration date
12/21/2023
Last updated
09/12/2024
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