Individual
DR. BY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 S 9TH AVE, YAKIMA, WA 98902-3315
(509) 454-6194
(509) 454-6187
Mailing address
732 SUMMITVIEW AVE, #621, YAKIMA, WA 98902-3032
(509) 573-3448
(509) 574-4481
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00041414
WA
208M00000X
Hospitalist Physician
MD00041414
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009597
—
WA
05
—
8370546
—
WA
Enumeration date
02/21/2006
Last updated
05/07/2025
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