To Uyen T Pham

NPI 1093074528 - Physician Assistant - 363AM0700X

NPI Details
NPI 1093074528
Gender Female
Enumeration Date 05/03/2012
Last Updated 08/17/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
701 PARK AVE # R1
MINNEAPOLIS MN, 55415-1623, US
Phone (612) 873-3508
Business Location
825 SEAL ST APT 1407
SAINT PAUL MN, 55114-1247, US
Taxonomy Code 363AM0700X
License State Minnesota
License Number 11146
Remove 1093074528 NPI Number

According to our database, Ms. To Uyen T Pham NPI is 1093074528, taxonomy code is 363AM0700X and license number is 11146, license state is located at Minnesota. To Uyen T Pham physically located at 701 Park Ave # R1, Minneapolis MN, 55415-1623. NPI Number To Uyen T Pham has the Individual type.

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1093074528 NPI number is provided on an as is basis without warranty of any kind. 1093074528 is maintained by the National Plan & Provider Enumeration System. The contents of To Uyen T Pham are for informational purposes only.