JACKIE PHAM DPM NPI 1043553787

NPI Information

Jackie Pham, DPM is a foot and ankle surgery podiatrist in Edina, MN with 11 years of experience. Jackie Pham, DPM NPI is 1043553787. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7600 FRANCE AVE S STE 1100
EDINA, MN
ZIP 55435-924
Phone: (952) 926-3566
Fax: (952) 929-3358

The NPI 1043553787 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/1/2013 and was last updated on 3/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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