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THEODORE PHAN
Physician Assistant
NPI: 1104546969Individual
Specialties, Licenses & Credentials
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
61808(CA)
Contact & Hours
- Address
- 52 TRINITY DR
NOVATO, CA 94947 - Phone
- (415) 320-2313
Quick Facts
- NPI
- 1104546969
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 1
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