TIMOTHY PHAN

PAHRUMP, NV
NPI1417949314
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NV  CRNA000265)
Enumeration Date2005-08-17
Last Update Date2016-12-20
Business Address
-- TIMOTHY PHAN CRNA
330 S LOLA LN SUITE 200
PAHRUMP, NV 89048-0878
Phone number: 775-751-7500
Mailing Address
-- TIMOTHY PHAN CRNA
7385 S PECOS RD STE 103
LAS VEGAS, NV 89120-3768
Phone number: 888-221-2297