Individual
DR. VIVIAN N PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11133 DUNN RD, DEPT EMERGENCY MED, SAINT LOUIS, MO 63136-6163
(314) 362-9123
(314) 747-9160
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-9123
(314) 747-9160
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2022046611
MO
Other
Enumeration date
06/14/2021
Last updated
07/14/2025
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