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Darrel Tan Phong, DO
Student in an Organized Health Care Education/Training Program in Rancho Mirage, California
NPI 1144809476

Darrel Tan Phong is a Student in an Organized Health Care Education/Training Program based in Rancho Mirage, CA. Darrel Tan Phong practices in Rancho Mirage, CA and has the professional credentials of DO. The NPI Number for Darrel Tan Phong is 1144809476 and holds a License No. (California).

The current practice location address for Darrel Tan Phong is 39000 Bob Hope Dr, Rancho Mirage, CA and can be reached out via phone at 760-773-2968.

Location: 39000 Bob Hope Dr, Rancho Mirage, CA, 92270-3221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144809476
Provider Name
Darrel Tan Phong
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
39000 Bob Hope Dr, Rancho Mirage, CA, 92270-3221
Phone Number
760-773-2968
Fax Number
Provider Enumeration Date
04/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
39000 Bob Hope Dr
City
Rancho Mirage
State
California
Zip
92270-3221
Phone Number
760-773-2968
Fax Number
person
Provider Business Mailing Address Details
Address
39000 Bob Hope Dr
City
Rancho Mirage
State
California
Zip
92270-3221
Phone Number
760-773-2968
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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