Individual
MR. ANH TUAN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2024000245
MO
152W00000X
Optometrist
Primary
OPT15202
CA
Other
Enumeration date
09/30/2016
Last updated
07/01/2026
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