Search › Idaho › 363LF0000X
Jay Phan
NPI 1669299152 · on the registry since 2024 · sole proprietor
Practice
- Address
- 419 Shoup Ave W
Twin Falls, ID 83301 - Phone
- (209) 996-1700
- Organisation at this address
- Akins Clinic Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho