ALEXANDER PHAN D.O.
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1750796371- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.O.
- Status
- Active
Contact & Location
- Address
- 1209 WOODROW AVE STE E, MODESTO, CA, 953501288
- Phone
- (209) 558-5312
Specialties & Taxonomies
Family Medicine, Addiction Medicine
License: CA #20A14386
Family Medicine
Primary License: CA #20A14386