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Individual

DR. ANDY PHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1014 SAN JUAN AVE, EXETER, CA 93221-1312
(559) 592-7371
(559) 624-6590
Mailing address
1014 SAN JUAN AVE, EXETER, CA 93221-1312
(559) 592-7371
(559) 624-6590

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A75547
CA

Other

Enumeration date
05/30/2006
Last updated
01/20/2012
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