Individual
KHOA PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3811 E BELL RD STE 111, PHOENIX, AZ 85032-2158
(480) 985-1093
(480) 296-7665
Mailing address
PO BOX 20610, MESA, AZ 85277-0610
(480) 985-1093
(480) 296-7665
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP9906
AZ
Other
Enumeration date
02/16/2017
Last updated
09/25/2023
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