Ethan Pham

NPI #1144954488 in Tempe, Arizona

Provider Information

NPI Number
1144954488
Entity Type
Individual
Name
Ethan Pham
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Enumeration Date
Jul 12, 2022
Last Updated
Dec 8, 2023

Practice Location

Address
1030 E GUADALUPE RD
City
Tempe
State
Arizona
ZIP Code
85283-3044
Phone
(480) 491-1898

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical
Physician Assistant

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