Individual
ALEXANDER PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1209 WOODROW AVE STE E, MODESTO, CA 95350-1288
(209) 558-5312
Mailing address
PO BOX 577197, MODESTO, CA 95357-7197
(209) 558-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A14386
CA
207QA0401X
Addiction Medicine (Family Medicine) Physician
20A14386
CA
Other
Enumeration date
06/23/2014
Last updated
08/31/2023
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