Ethan Pham

Physician Assistant · Tempe, AZ

Individual Active NPI

NPI number 1144954488

Practice location

1030 E Guadalupe Rd
Tempe, AZ 85283-3044
Phone
(480) 491-1898

Open in Google Maps

NPI record

NPI
1144954488
Entity type
Individual (Type 1)
Enumeration date
July 12, 2022
Last updated
December 8, 2023
Certified
December 8, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —
Medical Physician Assistant 363AM0700X — —

Mailing address

2722 N 7TH St Unit 8
Phoenix, AZ 85006-1067
Phone
(714) 908-6037

About Ethan Pham

Ethan Pham is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1030 E Guadalupe Rd, Tempe, AZ 85283-3044. The NPI number 1144954488 was assigned on July 12, 2022 and the record was last updated on December 8, 2023.

Frequently asked questions

What is the NPI number of Ethan Pham?

The NPI number is 1144954488.

What is the phone number of Ethan Pham?

The phone number listed for the practice location is (480) 491-1898.

Where is Ethan Pham located?

1030 E Guadalupe Rd, Tempe, AZ 85283-3044.

What is the taxonomy code for Ethan Pham?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physician Assistant providers in Tempe

All Physician Assistant providers in Tempe, AZ →