THONGPHANH PHANTHAVADY

SACRAMENTO, CA
NPI1932472669
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A118769)
Enumeration Date2012-02-10
Last Update Date2022-02-04
Business Address
-- THONGPHANH PHANTHAVADY M.D.
7500 HOSPITAL DR
SACRAMENTO, CA 95823-5403
Phone number: 916-681-1900
Mailing Address
-- THONGPHANH PHANTHAVADY M.D.
8946 LA RIVIERA DR
SACRAMENTO, CA 95826-2160
Phone number: