Cuong C Pham M.D.

NPI 1891919270 - Family Medicine - 207Q00000X

NPI Details
NPI 1891919270
Gender Male
Enumeration Date 04/13/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
ONE WILLIAM KEY BLVD
FORT SUPPLY OK, 73841-0061, US
Phone (580) 766-2224
Fax (580) 766-2030
Business Location
1104 N DOREEN ST
WICHITA KS, 67206-3820, US
Phone (316) 634-0491
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Oklahoma
License Number 23839
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According to our database, Dr. Cuong C Pham M.D. NPI is 1891919270, taxonomy code is 207Q00000X and license number is 23839, license state is located at Oklahoma. Cuong C Pham M.D. physically located at One William Key Blvd, Fort Supply OK, 73841-0061. NPI Number Cuong C Pham M.D. has the Individual type.

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1891919270 NPI number is provided on an as is basis without warranty of any kind. 1891919270 is maintained by the National Plan & Provider Enumeration System. The contents of Cuong C Pham M.D. are for informational purposes only.