Individual
DR. ANDREW T PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
15403 GRAND AVE, 10, LAKE ELSINORE, CA 92530-5587
(951) 678-6000
Mailing address
15403 GRAND AVE, 10, LAKE ELSINORE, CA 92530-5587
(951) 678-6000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC28718
CA
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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