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Organization

PATRICK PHAN, M.D., P.S.

Active
Other names
Patrick Phan, M.D., P.S.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PATRICK T. PHAN M.D. (PRESIDENT)
(206) 725-4322
Entity
Organization

Contact information

Practice address
2902 112TH AVE SE, BELLEVUE, WA 98004-7528
(206) 725-4322
Mailing address
2902 112TH AVE SE, BELLEVUE, WA 98004-7528
(206) 725-4322

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
1086792
WA
05
1087196
WA
05
1982800
WA
Enumeration date
07/15/2009
Last updated
07/15/2009
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