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Individual
THU ANH PHAM
Active
Individual
THU ANH PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL40694
SC
207R00000X
Internal Medicine Physician
40694
SC
208M00000X
Hospitalist Physician
40694
SC
Other
Enumeration date
06/21/2017
Last updated
07/11/2024
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