Mickey Phan is a student in an organized health care education training program in Oxford, MS. The provider is 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. Mickey Phan NPI is 1568113165. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
UNIVERSITY AVE
OXFORD, MS
ZIP 38655
Phone: (601) 910-8551
The enumeration date for this NPI number is 1/14/2022 and was last updated on 1/14/2022.