Dac Tat Pham M.D.

NPI 1063409761 - Family Medicine - 207Q00000X

NPI Details
NPI 1063409761
Gender Male
Enumeration Date 09/29/2005
Last Updated 04/04/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
208 S MAIN AVE
BRINKLEY AR, 72021-3210, US
Phone (870) 734-3222
Fax (870) 734-1341
Business Location
208 S MAIN AVE
BRINKLEY AR, 72021-3210, US
Phone (870) 734-3222
Fax (870) 734-1341
Toxanomy
Taxonomy Code 207Q00000X
License State Arkansas
License Number R3398
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According to our database, Dac Tat Pham M.D. NPI is 1063409761, taxonomy code is 207Q00000X and license number is R3398, license state is located at Arkansas. Dac Tat Pham M.D. physically located at 208 S Main Ave, Brinkley AR, 72021-3210. NPI Number Dac Tat Pham M.D. has the Individual type.

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1063409761 NPI number is provided on an as is basis without warranty of any kind. 1063409761 is maintained by the National Plan & Provider Enumeration System. The contents of Dac Tat Pham M.D. are for informational purposes only.