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1013073766
DOUGLAS M PHAN
MODESTO, CA
NPI
1013073766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: CA G51181)
Enumeration Date
2006-12-28
Last Update Date
2019-01-16
Business Address
DOUGLAS M PHAN M.D.
1541 FLORIDA AVE STE 304
MODESTO, CA 95350-4439
Phone number: 209-577-3388
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Mailing Address
DOUGLAS M PHAN M.D.
927 BROADWAY ST SUITE 322
QUINCY, IL 62301-2719
Phone number: 217-223-8400
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