Individual
HOA QUANG PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2114 HARFORD RD, SUITE A, HAMPTON, VA 23666
(757) 224-7605
(757) 525-2854
Mailing address
1155 PROFESSIONAL DR, WILLIAMSBURG, VA 23185-3329
(757) 220-3311
(757) 525-2854
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103301477
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
05/13/2026
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