Individual
JOHN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9426 116TH AVE NE, KIRKLAND, WA 98033
(206) 898-8522
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 474-6842
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OP 60536310
WA
208M00000X
Hospitalist Physician
Primary
OP60536310
WA
Other
Enumeration date
06/16/2015
Last updated
06/24/2021
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