Individual
CHRISTOPHER PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2080 CHILD STREET, ANESTHESIA DEPT, JACKSONVILLE, FL 32214
(904) 542-7632
Mailing address
2080 CHILD STREET, ANESTHESIA DEPT, JACKSONVILLE, FL 32214
(904) 542-7632
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11034333
FL
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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