Individual
THUYLINH PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
623 S 21ST ST, FORT SMITH, AR 72901-3914
(479) 441-1500
(479) 441-1502
Mailing address
623 S 21ST ST, FORT SMITH, AR 72901-3914
(479) 441-1500
(479) 441-1502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E1751
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134686001
—
AR
Enumeration date
05/24/2006
Last updated
10/21/2008
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