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Individual

NGOC MINH PHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
825 NE 10TH ST, OUPB 4500, OKLAHOMA CITY, OK 73104-5417
(405) 271-5789
Mailing address
4120 W MEMORIAL RD, SUITE 300, OKLAHOMA CITY, OK 73120-9320
(405) 748-3300
(405) 749-1671

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1573
OK
363A00000X
Physician Assistant
PA18067
CA

Other

Enumeration date
11/17/2006
Last updated
07/24/2012
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