Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dat Van Phan, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336995547

Dat Van Phan, DO is a Student in an Organized Health Care Education/Training Program in Keesler AFB, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

301 Fisher St Rm 5A127
Keesler AFB, MS 39534-2508
Phone: (228) 377-1110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1336995547
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 29, 2024
Last updated in NPPESApril 29, 2024
Certification dateApril 28, 2024
Mailing address301 Fisher St Rm 5a127, Keesler Afb, MS 39534-2508

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