Provider Demographics
NPI:1932237096
Name:PHAM, TRUC T (MD)
Entity Type:Individual
Prefix:DR
First Name:TRUC
Middle Name:T
Last Name:PHAM
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Gender:F
Credentials:MD
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Mailing Address - Street 1:13103 E MANSFIELD AVE
Mailing Address - Street 2:INCYTE DIAGNOSTICS
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-1642
Mailing Address - Country:US
Mailing Address - Phone:509-892-2700
Mailing Address - Fax:509-892-2740
Practice Address - Street 1:13103 E MANSFIELD AVE
Practice Address - Street 2:INCYTE DIAGNOSTICS
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-1642
Practice Address - Country:US
Practice Address - Phone:509-892-2700
Practice Address - Fax:509-892-2740
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2014-12-12
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Provider Licenses
StateLicense IDTaxonomies
CAA87040207ZH0000X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology