Individual
AMY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1400 E DOWNING ST, TAHLEQUAH, OK 74464-3324
(918) 456-0641
Mailing address
111 S GREENWOOD AVE APT 304, TULSA, OK 74120-1472
(316) 993-3298
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0779R
OK
Other
Enumeration date
04/03/2023
Last updated
09/05/2024
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