Ly T Phan is a Surgery Physician based in Saint Louis, MO. Ly T Phan practices in Columbia, MO and has the professional credentials of MD. The NPI Number for Ly T Phan is 1356430870 and holds a License No. 2005030724 (Missouri).
The current practice location address for Ly T Phan is 1601 E Broadway, Columbia, MO and can be reached out via phone at 573-815-8145 and via fax at 573-815-3832. You can also correspond with Ly T Phan through the mailing address at 670 MASON RIDGE CENTER DR, SAINT LOUIS, MO - 63141-8573 (mailing address contact number: 573-815-8145).
Identifier | Type | State | Issuer |
---|---|---|---|
207505603 | 05 | MO |
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