Individual
DUYEN KIEU PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6420 CLAYTON RD, SAINT LOUIS, MO 63117-1811
(314) 951-7240
Mailing address
6420 CLAYTON RD, SAINT LOUIS, MO 63117-1811
(508) 769-7415
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
03/26/2025
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