Search › Oklahoma › 207Q00000X
Trung Pham, D.O
NPI 1700851052 · on the registry since 2006 · sole proprietor
Practice
- Address
- 10016 S Mingo Rd Ste A
Tulsa, OK 74133 - Phone
- (918) 459-0583
- Fax
- (918) 250-0120
- Organisation at this address
- Cedar Ridge Clinic,P.C.
Charles Calhoun Dds, PcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207P00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-10-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma