Tam Pham Mclean Valid NPI

Individual provider · Family Medicine Physician · Willoughby, OH

NPI

1114260122

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

35.127316 (OH)

Sex

Female

Sole proprietor

No

Enumerated

2013-03-28

Last updated

2021-03-03