Stacey Thao Phan, D.O.
General Practice Physician · Normal, IL
Practice location
1300 Franklin Ave Ste 100Normal, IL 61761-3676
- Phone
- (309) 268-3455
- Fax
- (309) 268-5620
NPI record
- NPI
- 1235263385
- Entity type
- Individual (Type 1)
- Enumeration date
- March 14, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Physician Primary | 208D00000X |
— | IL |
Mailing address
6801 Green Meadow LnOklahoma City, OK 73132-3957
- Phone
- (405) 245-0747
About Dr. Phan
Stacey Thao Phan, D.O. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 1300 Franklin Ave Ste 100, Normal, IL 61761-3676. The NPI number 1235263385 was assigned on March 14, 2007 and the record was last updated on July 8, 2007.
Frequently asked questions
What is the NPI number of Stacey Thao Phan, D.O.?
The NPI number is 1235263385.
What is the phone number of Dr. Phan?
The phone number listed for the practice location is (309) 268-3455.
Where is Dr. Phan located?
1300 Franklin Ave Ste 100, Normal, IL 61761-3676.
What is the taxonomy code for Dr. Phan?
The primary taxonomy code is 208D00000X – General Practice Physician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.