Clarrisa W Phan in Phoenix - Family Medicine

Clarrisa W Phan - NPI 1205098902

Clarrisa W Phan is a Family Medicine in Phoenix, Arizona. Clarrisa W Phan practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Clarrisa W Phan is 1205098902. The last update date is 2012-01-12.

Clarrisa W Phan's current location address is 4212 N 16th St, Phoenix, Arizona. You can contact this provider via phone number 6022631200 and fax number 6022005383. The mailing address for Clarrisa W Phan is 4212 N 16th St, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Clarrisa W Phan
Address 4212 N 16th St, Phoenix, Arizona
Phone Number 6022631200
Fax Number 6022005383
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1205098902
Provider Enumeration Date 2008-06-25
Last Updated Date 2012-01-12

Provider Mailing Address Detail

Address 4212 N 16th St
City Phoenix
State Arizona (AZ)
Post Code 850165319
Phone Number 6022631200
Fax Number 6022005383

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 45383
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

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FAQs about Clarrisa W Phan

What is the Clarrisa W Phan's unique identification number?

The Clarrisa W Phan has been assigned the NPI (National Provider Identifier) Number 1205098902 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Clarrisa W Phan is physically located?

The Clarrisa W Phan is physically situated at the following address: 4212 N 16Th St, Phoenix, AZ, 850165319.

What is Clarrisa W Phan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Clarrisa W Phan's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.

On what date did the Clarrisa W Phan receive the assignment of its 1205098902 from the Centers for Medicare & Medicaid Services?

The Clarrisa W Phan was issued its 1205098902 by the Centers for Medicare & Medicaid Services on 2008-06-25.

As of what date was the information regarding Clarrisa W Phan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Clarrisa W Phan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-01-12.

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