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Individual
AN DUC PHAM
Active
Individual
AN DUC PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2021035555
MO
207V00000X
Obstetrics & Gynecology Physician
A134482
CA
208M00000X
Hospitalist Physician
A134482
CA
Other
Enumeration date
04/10/2013
Last updated
10/25/2021
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