Individual
DR. PETER PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 W 15TH ST STE 204, LIBERAL, KS 67901-2455
(620) 624-4946
(620) 624-2260
Mailing address
305 W 15TH ST STE 204, LIBERAL, KS 67901-2455
(620) 629-6739
(620) 629-6523
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0438080
KS
Other
Enumeration date
04/04/2008
Last updated
11/25/2025
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