Individual
TUAN PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
Mailing address
201 16TH AVE E, SEATTLE, WA 98112-5226
(206) 326-3000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A132689
CA
207R00000X
Internal Medicine Physician
Primary
A132689
CA
207R00000X
Internal Medicine Physician
MD60506629
WA
208M00000X
Hospitalist Physician
A132689
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8329161
—
WA
Enumeration date
07/21/2006
Last updated
04/28/2021
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