Individual
NHUNG HONG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
926 SW 107TH ST STE 100, OKLAHOMA CITY, OK 73170-5244
(405) 735-9788
(405) 735-9882
Mailing address
926 SW 107TH ST STE 100, OKLAHOMA CITY, OK 73170-5244
(405) 735-9788
(405) 735-9882
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
3002
OK
363A00000X
Physician Assistant
Primary
3022
OK
Other
Enumeration date
07/12/2019
Last updated
11/10/2022
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