Warren Phuc Thai MD PC

NPI #1548564453 in Susanville, California

Provider Information

NPI Number: 1548564453
Entity Type: Organization
Organization Name: Warren Phuc Thai MD PC
Primary Specialty: Hospitalist
Enumeration Date: Jan 6, 2011
Last Updated: Jan 6, 2011

Practice Location

Address: 1800 SPRING RIDGE DR
City: Susanville
State: California
ZIP Code: 96130-6100
Phone: (702) 453-3799

Authorized Official

Name: LORI LABRECQUE
Title: ACCOUNTS MGR
Phone: (702) 453-3799

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospitalist	208M00000X	Primary

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