Twan Phanijphand, D.O. Valid NPI

Individual provider · Gastroenterology Physician · Fort Walton Beach, FL

NPI

1790806248

Type

Individual (Type 1)

Primary specialty

Gastroenterology Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207RG0100X

License number

OS16137 (FL)

Sex

Male

Sole proprietor

No

Enumerated

2007-04-03

Last updated

2025-07-22