DOUGLAS M PHAN M.D.
Individual Provider (NPI-1)
Active
Otolaryngology
Provider Information
- NPI Number
1013073766- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 1541 FLORIDA AVE STE 304, MODESTO, CA, 953504439
- Phone
- (209) 577-3388
- Fax
- (209) 521-3262
Specialties & Taxonomies
Otolaryngology
Primary License: CA #G51181