DR. Liza Antoinette Jain Phu, M.D.

NPI #1174758908 in Jordan, Minnesota

Provider Information

NPI Number: 1174758908
Entity Type: Individual
Name: DR. Liza Antoinette Jain Phu, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: May 22, 2009
Last Updated: Nov 10, 2020

Practice Location

Address: 265 CREEK LN S
City: Jordan
State: Minnesota
ZIP Code: 55352-1214
Phone: (952) 428-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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