Individual provider · Type 1 NPI
Martin Phan, MD
Electroneurodiagnostic Specialist/Technologist · San Jose, CA
NPI number
1063994879
Active
Practice location
2995 Edison Dr
San Jose, CA 95133-2412
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Electroneurodiagnostic Specialist/Technologist Primary | 246ZE0600X | 3442 (CA) |
Electroneurodiagnostic Specialist/Technologist: Definition to come...
Other electroneurodiagnostic specialist/technologist providers in San Jose
About NPI 1063994879
Martin Phan, MD's National Provider Identifier is 1063994879, issued on Aug 29, 2018. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in San Jose, CA. The record was last updated on Aug 29, 2018.