Patrick T Phan in Fort Defiance - General Practice
Patrick T Phan - NPI 1790962355
Patrick T Phan is a General Practice in Fort Defiance, Arizona. Patrick T Phan practices all healthcare services and medical treatments related to General Practice. The NPI Number for Patrick T Phan is 1790962355. The last update date is 2014-10-07.
Patrick T Phan's current location address is Po Box 649, Fort Defiance, Arizona. You can contact this provider via phone number 9287298000. The mailing address for Patrick T Phan is Po Box 649, Fort Defiance, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patrick T Phan |
|---|---|
| Address | Po Box 649, Fort Defiance, Arizona |
| Phone Number | 9287298000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1790962355 |
|---|---|
| Provider Enumeration Date | 2008-01-25 |
| Last Updated Date | 2014-10-07 |
Provider Mailing Address Detail
| Address | Po Box 649 |
|---|---|
| City | Fort Defiance |
| State | Arizona (AZ) |
| Post Code | 865040649 |
| Phone Number | 9287298000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | MD00026346 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1029150 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Patrick T Phan by the Centers for Medicare & Medicaid Services (CMS)?
The Patrick T Phan has been assigned the NPI (National Provider Identifier) 1790962355. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Patrick T Phan?
The Patrick T Phan is situated at Po Box 649, in the city of Fort Defiance, state of AZ, with the zip code 865040649.
What is the Patrick T Phan's specialty and taxonomy code?
The Patrick T Phan's specialty is General Practice, and the corresponding taxonomy code is 208D00000X.
On what date did the Patrick T Phan receive the assignment of its 1790962355 from the Centers for Medicare & Medicaid Services?
The Patrick T Phan was issued its 1790962355 by the Centers for Medicare & Medicaid Services on 2008-01-25.
As of what date was the information regarding Patrick T Phan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Patrick T Phan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-10-07.
NPI Number: 1215930425
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