Organization
BENJAMIN VAN PHAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN VAN PHAM (OWNER)
(916) 786-3434
Entity
Organization
Contact information
Practice address
685 TWELVE BRIDGES DR STE F, LINCOLN, CA 95648-8689
(916) 786-3434
Mailing address
685 TWELVE BRIDGES DR STE F, LINCOLN, CA 95648-8689
(916) 786-3434
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4060
CA
Other
Enumeration date
12/30/2015
Last updated
01/28/2016
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