Individual
DR. AN THIEN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4040 S 188TH ST STE 201, SEATAC, WA 98188-5070
(206) 277-7200
(206) 277-7202
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1566
(425) 277-1566
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60922345
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/29/2015
Last updated
03/01/2022
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