Organization
MINH VAN PHAM MD INC PS
Active
Other names
MINH VAN PHAM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINH VAN PHAM M.D. (GENERAL PRACTICE MD)
(206) 722-6268
Entity
Organization
Contact information
Practice address
5401 RAINIER AVE S, SEATTLE, WA 98118-2438
(206) 722-6268
(206) 725-5435
Mailing address
5401 RAINIER AVE S, SEATTLE, WA 98118-2438
(206) 722-6268
(206) 725-5435
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0021481
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1038181
—
WA
Enumeration date
04/05/2011
Last updated
07/26/2014
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