Dat Van Phan, DO
NPI #1336995547 in Keesler Afb, Mississippi
Provider Information
- NPI Number
- 1336995547
- Entity Type
- Individual
- Name
- Dat Van Phan, DO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Credential
- DO
- Enumeration Date
- Apr 29, 2024
- Last Updated
- Apr 29, 2024
Practice Location
- Address
- 301 FISHER ST RM 5A127
- City
- Keesler Afb
- State
- Mississippi
- ZIP Code
- 39534-2508
- Phone
- (228) 377-1110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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