Individual provider · Type 1 NPI

Mary Pham

Diagnostic Radiology Physician · Peoria, IL

NPI number 1659404325 Active

Practice location

401 SW Water St, Suite 507
Peoria, IL 61602-1571

Call (309) 494-9320 Map

Mailing address

10335 N Port Washington Rd, 250
Mequon, WI 53092-5763

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1659404325

Mary Pham's National Provider Identifier is 1659404325, issued on Mar 13, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Peoria, IL. The record was last updated on Oct 25, 2007.