Warren Phuc Thai Md Pc

NPI 1548564453 - Hospitalist - 208M00000X

NPI Details
NPI 1548564453
Enumeration Date 01/06/2011
Last Updated 01/06/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name LORI LORI
Position ACCOUNTS MGR
Phone (702) 453-3799
Fax (702) 453-5741
Practice Location
1800 SPRING RIDGE DR
SUSANVILLE CA, 96130-6100, US
Phone (702) 453-3799
Fax (702) 453-5741
Business Location
PO BOX 33658
RENO NV, 89533-3658, US
Phone (702) 453-3799
Fax (702) 453-5741
Toxanomy
Taxonomy Code 208M00000X
License State California
License Number A108762
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According to our database, Warren Phuc Thai Md Pc NPI is 1548564453, taxonomy code is 208M00000X and license number is A108762, license state is located at California. Warren Phuc Thai Md Pc physically located at 1800 Spring Ridge Dr, Susanville CA, 96130-6100. NPI Number 1033115704 has the healthcare provider type.

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1548564453 NPI number is provided on an as is basis without warranty of any kind. 1548564453 is maintained by the National Plan & Provider Enumeration System. The contents of Warren Phuc Thai Md Pc are for informational purposes only.