Individual
DR. THEODORE PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3262 SALT CREEK CIR, LINCOLN, NE 68504-4761
(402) 465-5600
(402) 327-6074
Mailing address
3262 SALT CREEK CIR, LINCOLN, NE 68504-4761
(402) 465-5600
(402) 327-6074
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0102205715
VA
208000000X
Pediatrics Physician
Primary
2271
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2017
Last updated
06/27/2023
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