Quoc Van Pham M.D.

NPI 1992016885 - Emergency Medicine - 207P00000X

NPI Details
NPI 1992016885
Gender Male
Enumeration Date 06/25/2010
Last Updated 06/24/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
701 N 1ST ST
SPRINGFIELD IL, 62702-3757, US
Phone (217) 545-3518
Fax
Business Location
1322 BREEZY BEND DR
KATY TX, 77494-6103, US
Phone (832) 248-0413
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Illinois
License Number 125.058561
Remove 1992016885 NPI Number
 

According to our database, Quoc Van Pham M.D. NPI is 1992016885, taxonomy code is 207P00000X and license number is 125.058561, license state is located at Illinois. Quoc Van Pham M.D. physically located at 701 N 1st St, Springfield IL, 62702-3757. NPI Number Quoc Van Pham M.D. has the Individual type.

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1992016885 NPI number is provided on an as is basis without warranty of any kind. 1992016885 is maintained by the National Plan & Provider Enumeration System. The contents of Quoc Van Pham M.D. are for informational purposes only.