Individual
JAMES PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4500 S GARNETT RD STE 300, TULSA, OK 74146-5238
(918) 664-7128
Mailing address
4500 S GARNETT RD STE 300, TULSA, OK 74146-5238
(918) 664-7128
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4798
OK
390200000X
Student in an Organized Health Care Education/Training Program
UO1926
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UO1926
FLORIDA TRAINING REGISTRATION NUMBER
FL
Enumeration date
04/16/2009
Last updated
07/29/2014
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