Individual
DANIEL R PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6710 S SAINT LOUIS PL, TULSA, OK 74136-3809
(918) 520-3336
Mailing address
6710 S SAINT LOUIS PL, TULSA, OK 74136-3809
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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