Individual
TIMOTHY TRUONG PHAMDUY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-3600
(937) 641-5802
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-5072
(937) 641-6129
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
34.016611
OH
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
34.016611
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021551
—
OH
Enumeration date
03/31/2016
Last updated
08/29/2025
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