DARREL TAN PHONG

KETTERING, OH
NPI1144809476
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: OH  34.017035)
Enumeration Date2021-04-05
Last Update Date2024-07-16
Business Address
DARREL TAN PHONG DO
3535 SOUTHERN BLVD
KETTERING, OH 45429-1221
Phone number: 937-395-8166
Mailing Address
DARREL TAN PHONG DO
3131 NEWMARK DR STE 220
MIAMISBURG, OH 45342-5400
Phone number: 937-438-8910