DR. Thai Phan, MD

NPI #1326135021 in Winston Salem, North Carolina

Provider Information

NPI Number: 1326135021
Entity Type: Individual
Name: DR. Thai Phan, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MD
Enumeration Date: Oct 6, 2006
Last Updated: Jul 15, 2013

Practice Location

Address: 1321 ASHLEYBROOK LN
City: Winston Salem
State: North Carolina
ZIP Code: 27103-2918
Phone: (336) 659-9440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary
Psychiatry & Neurology - Pain Medicine — Pain Medicine	2084P2900X

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