Individual provider · Type 1 NPI

Chelinh D. Phung, PA

Surgical Physician Assistant · Baton Rouge, LA

NPI number 1447249578 Active

Practice location

10101 Park Rowe Ave, Suite 200
Baton Rouge, LA 70810-1686

Fax (225) 768-2185

Mailing address

PO Box 98509
Baton Rouge, LA 70884-9509

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XA10460 (LA)

Surgical Physician Assistant: Definition to come...

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About NPI 1447249578

Chelinh D. Phung, PA's National Provider Identifier is 1447249578, issued on Oct 20, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Baton Rouge, LA. The record was last updated on Mar 28, 2008.