DR. Jaclyn T Phan, O.D.
NPI #1114078235 in Bothell, Washington
Provider Information
- NPI Number
- 1114078235
- Entity Type
- Individual
- Name
- DR. Jaclyn T Phan, O.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist - Corneal and Contact Management
- Credential
- O.D.
- Enumeration Date
- Jan 16, 2007
- Last Updated
- Nov 23, 2007
Practice Location
- Address
- 1912 201ST PL SE
- Address 2
- SUITE 204
- City
- Bothell
- State
- Washington
- ZIP Code
- 98012-8570
- Phone
- (425) 485-6812
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist - Corneal and Contact Management — Corneal and Contact Management |
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