Individual provider · Type 1 NPI

Gary Pham

Student in an Organized Health Care Education/Training Program · Fort Myers, FL

NPI number 1841676590 Active

Practice location

1741 Red Cedar Drive Apt 20
Fort Myers, FL 33907

Call (714) 470-0377 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XPSI 29735 (FL)
Student in an Organized Health Care Education/Training Program 390200000XINT 31104 (CA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1841676590

Gary Pham's National Provider Identifier is 1841676590, issued on Aug 5, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Myers, FL. The record was last updated on Aug 5, 2015.