Individual
PHUONG-ANH THI PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2817 REILLY ST, FORT BRAGG, NC 28310-5219
(910) 907-7006
Mailing address
2817 REILLY ST, FORT BRAGG, NC 28310-7324
(910) 907-7006
(910) 907-7112
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A62741
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00810748088
PHCS
CA
05
—
00A27410
—
CA
01
—
128827
HEALTH NET
CA
01
—
1974992
GREAT WEST
CA
01
—
2238002
FIRST HEALTH
CA
01
—
257714
INTERPLAN
CA
01
—
2618299
UNITED HEALTHCARE
CA
01
—
5064086
CIGNA
CA
01
—
5668612
FIRST HEALTH
CA
01
—
7581749
AETNA
CA
01
—
90201153
PACIFICARE
CA
01
—
A62741
BLUE CROSS
CA
01
—
MCMG443200
WESTERN HEALTH ADVANTAGE
CA
Enumeration date
08/07/2006
Last updated
04/21/2022
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