Individual
PHUQUI DUONG PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1608 S J ST FL 3, TACOMA, WA 98405-4930
(253) 274-7503
(253) 274-7993
Mailing address
1608 S J ST FL 3, TACOMA, WA 98405-4930
(253) 274-7503
(253) 274-7993
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD61422963
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2160896
—
WA
Enumeration date
04/01/2020
Last updated
11/03/2023
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