Individual
PAULINE PHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
8401 MARKET ST, BOARDMAN, OH 44512-6725
(330) 729-7960
Mailing address
21845 HEATHERIDGE DR, YORBA LINDA, CA 92887-2614
(714) 468-7844
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
58.032248
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2021
Last updated
06/28/2021
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