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Individual

DR. PHILIP T PHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1155 MILL STREET, ANESTHESIOLOGY, RENO, NV 89502
(775) 982-5262
(775) 982-5496
Mailing address
1155 MILL ST # M14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
15778
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12801106
CAQH
NV
01
15778
MD NV LIC
NV
Enumeration date
03/28/2011
Last updated
06/12/2023
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