Individual
HUONG T PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3336 S PIONEER PKWY STE 302, WEST VALLEY CITY, UT 84120-2074
(801) 964-8726
(801) 968-9836
Mailing address
319 E BELDON PL, SALT LAKE CITY, UT 84111-3516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12562785-1206
UT
363AM0700X
Medical Physician Assistant
12562785-1206
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2020
Last updated
12/08/2024
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