Timothy Phan, CRNA

NPI #1417949314 in Pahrump, Nevada

Provider Information

NPI Number
1417949314
Entity Type
Individual
Name
Timothy Phan, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Aug 17, 2005
Last Updated
Dec 20, 2016

Practice Location

Address
330 S LOLA LN
Address 2
SUITE 200
State
Nevada
ZIP Code
89048-0878
Phone
(775) 751-7500

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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