Individual
DR. PHILLIP LEE VAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
600 GRANT ST FL 58, PITTSBURGH, PA 15219-2739
(412) 647-4054
Mailing address
600 GRANT ST FL 58, PITTSBURGH, PA 15219-2739
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0116020239
VA
2085B0100X
Body Imaging Physician
242355
MA
2085B0100X
Body Imaging Physician
D75539
MD
2085R0202X
Diagnostic Radiology Physician
27369
WV
2085R0202X
Diagnostic Radiology Physician
71819
MN
2085R0202X
Diagnostic Radiology Physician
MD483942
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MD83942
PA
Other
Enumeration date
06/23/2008
Last updated
05/02/2024
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