Individual
DANIEL V. PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6508 196TH ST SW, LYNNWOOD, WA 98036-5922
(425) 673-2572
(425) 673-4131
Mailing address
6508 196TH ST SW, LYNNWOOD, WA 98036-5922
(425) 673-2572
(425) 673-4131
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD32737
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1103761
—
WA
01
—
118997
LABOR AND INDUSTRY
WA
01
—
PH7245
REGENCE BLUESHIELD
—
Enumeration date
09/22/2005
Last updated
03/07/2023
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