Individual
MARIAN H PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
26 S MAIN ST, CENTERVILLE, UT 84014-1817
(801) 693-7900
(801) 693-7927
Mailing address
26 S MAIN ST, CENTERVILLE, UT 84014-1817
(801) 693-7900
(801) 693-7927
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5786141-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
621795217018
—
UT
Enumeration date
07/08/2006
Last updated
09/08/2021
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