Individual
DR. MAI LIEN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
701 HOSPITAL LOOP, FAIRCHILD AIR FORCE BASE, WA 99011-8704
(509) 247-5755
Mailing address
701 HOSPITAL LOOP, FAIRCHILD AIR FORCE BASE, WA 99011-8704
(509) 247-5755
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5025
OK
Other
Enumeration date
02/25/2009
Last updated
03/07/2013
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