Tony Pham
Tony Pham is a Driver in East Peoria, Illinois. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
2250 E Washington StEast Peoria, IL 61611-3021
Phone: (309) 643-1112
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X |
|---|
Record details
| NPI number | 1134721962 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 16, 2020 |
| Last updated in NPPES | November 16, 2020 |
| Certification date | November 16, 2020 |