Individual
DR. PHAM HIEU LIEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4301 W MARKHAM ST, 748, LITTLE ROCK, AR 72205-7101
(501) 686-5944
(501) 686-5884
Mailing address
343 VALLEY CLUB CIR, LITTLE ROCK, AR 72212-2900
(501) 227-0947
(501) 686-5884
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
R2702
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11878000000
QUALCHOICE
AR
01
—
53973
BCBS
AR
01
—
R2702
TRICARE
AR
Enumeration date
08/08/2006
Last updated
03/18/2008
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