Individual
DR. TRI QUOC PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO, MA
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
70513
MN
207R00000X
Internal Medicine Physician
DO01008
RI
207R00000X
Internal Medicine Physician
LP03618
RI
Other
Enumeration date
05/16/2016
Last updated
08/19/2022
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