Individual provider · Type 1 NPI
Timothy Pham, D.P.M.
Foot & Ankle Surgery Podiatrist · San Jose, CA
NPI number
1407871015
Active
Practice location
1879 Lundy Ave # 122
San Jose, CA 95131-1834
Fax (408) 433-3931
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 000E39370 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1407871015
Timothy Pham, D.P.M.'s National Provider Identifier is 1407871015, issued on Jul 13, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in San Jose, CA. The record was last updated on Dec 8, 2007.