Individual
MANH VAN PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 HOSPITAL LOOP, BELCOURT, ND 58316
(701) 477-6111
(701) 477-2057
Mailing address
1300 HOSPITAL LOOP, P.O.BOX 160, BELCOURT, ND 58316
(701) 477-6111
(701) 477-2057
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
265088
NY
Other
Enumeration date
07/24/2012
Last updated
02/11/2016
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