Most Relevant Information
Provider Data
| NPI Number: | 1003458837 |
| Provider Name: | MICHAEL PHAM PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/14/2019 |
| Last Updated: | 11/21/2022 |
Provider Practice Location
ELM AND CARLTON ST
BUFFALO
NY
142630001
Practice Location Phone/Fax
| Phone: | 7168452300 |
| Fax: |
Provider Mailing Location
ELM AND CARLTON ST
BUFFALO
NY
142630001
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |