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Individual

DR. TREY QUANG PHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2020 PALOMINO LANE, # 100, LAS VEGAS, NV 89106-4894
(702) 759-8600
(702) 384-1815
Mailing address
2020 PALOMINO LANE, # 100, LAS VEGAS, NV 89106-4894
(702) 759-8600
(702) 384-1815

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
13907
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1659559334
CA
05
1659559334
NV
05
623382
AZ
01
P01168769
RR MEDICARE
NV
Enumeration date
02/05/2008
Last updated
06/27/2013
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