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Individual

DR. JEN-JUNG PAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1441 N 12TH ST FL 2, PHOENIX, AZ 85006-2837
(602) 521-5180
Mailing address
1441 N 12TH ST FL 2, PHOENIX, AZ 85006-2837
(602) 521-5180

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
2009008670
MO
207RG0100X
Gastroenterology Physician
Primary
54235
AZ
207RG0100X
Gastroenterology Physician
N6556
TX

Other

Enumeration date
10/30/2006
Last updated
07/21/2025
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