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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MYDUNG PHAN

Active Organization

MYDUNG PHAN is a Peer Specialist organization located in GLENDALE, Arizona. NPI 1083429369 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · GLENDALE, AZ

Registration Details

NPI Number
1083429369
Provider Type
Organization
NPI Issued
Feb 12, 2025 (1.5100104049481 yrs)
Last Updated
Feb 16, 2025

Practice Information

Address
6637 N 58TH DR APT 3
GLENDALE, AZ, 853013900
Browse AZ providers · Browse ZIP 85301
Phone
4809184775
Primary Specialty
Peer Specialist
175T00000X
Additional Specialty
Health & Wellness Coach
Additional Specialty
Driver
Additional Specialty
Nutritionist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.