Organization
HPDERM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HA PHAM PA-C (PA-DERMATOLOGY)
(480) 740-7426
Entity
Organization
Contact information
Practice address
2135 E ROCKWOOD DR, PHOENIX, AZ 85024-3064
(480) 740-7426
Mailing address
2135 E ROCKWOOD DR, PHOENIX, AZ 85024-3064
(480) 740-7426
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/23/2022
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