Individual
PERCIVAL NAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 23RD AVE, GREELEY, CO 80634-6070
(970) 810-2424
Mailing address
1600 23RD AVE, GREELEY, CO 80634-6070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
TL.0011033
CO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TL.0011033
CO
Other
Enumeration date
05/15/2025
Last updated
06/03/2025
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