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PHOKHAM SOURIVANH, PA-C
PA-C
Medical Physician Assistant
NPI: 1972022762Individual
Specialties, Licenses & Credentials
Military Health Care Provider
Military Health Care Provider
Code: 171000000X
Medical Physician AssistantPrimary
Physician Assistant — Medical
Code: 363AM0700X
Contact & Hours
Via practice · 3 locations total
- Address
- Camp Pendleton
APO, AP 92055 - Phone
- (760) 725-1288
Quick Facts
- NPI
- 1972022762
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 2
- Locations
- 3
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