Individual
DENNY PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2813 KIMBERLIE CT, ANCHORAGE, AK 99508-5328
(619) 757-8772
Mailing address
2813 KIMBERLIE CT, ANCHORAGE, AK 99508-5328
(619) 757-8772
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
35150
AK
163W00000X
Registered Nurse
728851
CA
163W00000X
Registered Nurse
811563
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
35150
AK
Other
Enumeration date
02/11/2013
Last updated
01/13/2014
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