Individual
MICHAEL PHATCHAMPHONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RCP
Contact information
Practice address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
(916) 688-2000
Mailing address
6600 BRUCEVILLE RD, SACRAMENTO, CA 95823-4671
(916) 688-2000
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
06/22/2022
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