SearchMissouri390200000X

Thanh Phan

NPI 1740098813 · on the registry since 2024 · sole proprietor

Practice

Address
217 W Broadway Apt F31
Columbia, MO 65203
Phone
(314) 498-4034

Registry record

Primary taxonomy
390200000X
390200000X
Sex
Male
Record last updated
2024-12-20

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 Missouri