Individual
PHUNT PHYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
924 1ST ST NE, FARIBAULT, MN 55021-5441
(507) 333-3300
(507) 333-3214
Mailing address
924 1ST ST NE, FARIBAULT, MN 55021-5441
(507) 333-3300
(507) 333-3214
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
48313
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00264724
RAIL ROAD MEDICARE
—
05
—
877645800
—
MN
Enumeration date
07/10/2006
Last updated
12/17/2021
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