Individual
JULIE KHANH PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9907
(918) 236-4038
Mailing address
1111 W 17TH ST, TULSA, OK 74107-1886
(918) 236-4038
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
174400000X
CA
2084P0800X
Psychiatry Physician
A183838
CA
208D00000X
General Practice Physician
A183838
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
A183838
OK
Other
Enumeration date
04/06/2021
Last updated
04/18/2024
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