Individual
TRUNG QUANG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
167 N MAIN ST, TUBA CITY, AZ 86045
(928) 283-8287
Mailing address
PO BOX 600, TUBA CITY, AZ 86045-0600
(928) 283-2501
(928) 283-2677
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036105385
IL
Other
Enumeration date
11/07/2006
Last updated
08/03/2011
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