DR. Bao Tien Pham, D.O
NPI #1467445403 in Jacksonville, Florida
Provider Information
- NPI Number
- 1467445403
- Entity Type
- Individual
- Name
- DR. Bao Tien Pham, D.O
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Medicine & Rehabilitation - Pain Medicine
- Credential
- D.O
- Enumeration Date
- Aug 24, 2005
- Last Updated
- Nov 10, 2014
Practice Location
- Address
- 6816 SOUTHPOINT PKWY
- Address 2
- SUITE 302
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32216-1700
- Phone
- (904) 527-3135
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation - Pain Medicine — Pain Medicine |
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