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Organization

KRYSTAL H PHAM MD, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRYSTAL HANHTRAN PHAM M.D. (PRESIDENT)
(702) 477-0101
Entity
Organization

Contact information

Practice address
3040 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1944
(702) 477-0101
(702) 477-0254
Mailing address
3040 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1944
(702) 477-0101
(702) 477-0254

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
12284
NV

Other

Enumeration date
11/08/2007
Last updated
11/08/2007
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