DR. Jackie Phan, M.D.

NPI #1225277817 in Daly City, California

Provider Information

NPI Number: 1225277817
Entity Type: Individual
Name: DR. Jackie Phan, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Anesthesiology
Credential: M.D.
Enumeration Date: Feb 5, 2009
Last Updated: May 3, 2013

Practice Location

Address: 1900 SULLIVAN AVE
City: Daly City
State: California
ZIP Code: 94015-2200
Phone: (650) 991-6816

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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