Eliza Pham
Sports Medicine
134 Sports Camp Dr
Woodward
, Pennsylvania 16882-8422
Eliza Pham
Sports Medicine
134 Sports Camp Dr
Woodward
, Pennsylvania 16882-8422
(814) 349-5633
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Eliza Pham
- 134 Sports Camp Dr
- Woodward, PA
- Zip : 16882-8422
- Phone : (814) 349-5633
Second Address
- Eliza Pham
- 134 Sports Camp Dr
- Woodward, PA
- Zip : 16882-8422
- Phone : (814) 349-5633
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | RT005159 | PA |
| Y | 213ES0000X | Sports Medicine | RT005159 | PA |
National Provider Identifier
| NPI | 1134678063 |
|---|---|
| Provider Name | Eliza Pham |
| First Address | Woodward, PA 16882-8422 |
| Second Address | Woodward, PA 16882-8422 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2016 |
| Last Update Date | 04/10/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.