Doctor Name: | DR. DON PHAM |
NPI Number: | 1992184998 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | OS13450 |
Business Practice Address: | 29141 Chapel Park Dr Wesley Chapel, FL - 335434423 |
Business Phone Number: | 8139945200 |
Business Fax Number: | 8139945700 |
Mailing Address: | 10561 Sw 207th St, CUTLER BAY |
State: | FL |
Postal Code: | 331893644 |
Phone Number: | 7863714455 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2015 |
NPI Last Update Date: | 02/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OS13450 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |