DR. Daniel H Pham, OPTOMETRIST

NPI #1558372524 in Rockford, Illinois

Provider Information

NPI Number: 1558372524
Entity Type: Individual
Name: DR. Daniel H Pham, OPTOMETRIST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OPTOMETRIST
Enumeration Date: Aug 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3849 NORTHRIDGE DR
City: Rockford
State: Illinois
ZIP Code: 61114-4773
Phone: (312) 848-2181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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