Individual
DR. PATRICK T PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2902 112TH AVE SE, BELLEVUE, WA 98004-7528
(206) 725-4322
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00026346
WA
208D00000X
General Practice Physician
MD00026346
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029150
—
WA
Enumeration date
01/25/2008
Last updated
10/07/2014
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