Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LIZA ANTOINETTE JAIN PHU, M.D.
ActiveDR. LIZA ANTOINETTE JAIN PHU, M.D. is a Family Medicine healthcare provider located in JORDAN, Minnesota. NPI 1174758908 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · JORDAN, MN
Registration Details
- NPI Number
- 1174758908
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 22, 2009 (17.203297193136 yrs)
- Last Updated
- Nov 10, 2020
- Licenses
-
60116222 (WA)036.129032 (IL)53359 (MN)
Practice Information
- Address
-
265 CREEK LN SJORDAN, MN, 553521214Browse MN providers · Browse ZIP 55352
- Phone
- 9524281200
- Fax
- 9524281201
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in JORDAN, MN
| Name | Credential | NPI |
|---|---|---|
| DR. REBECCA RAE KRAGH | M.D. | 1851344345 |
| DR. JOSIAH A. GOLDAMMER | D.O. | 1124383575 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.