Individual
DR. EDWARD T THAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1375 E 19TH AVE, DENVER, CO 80218-1114
(303) 338-4545
Mailing address
2500 S HAVANA ST, AURORA, CO 80014-1618
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
046518
CT
207P00000X
Emergency Medicine Physician
247229
NY
207P00000X
Emergency Medicine Physician
Primary
47679
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022776
KAISER COMMERCIAL NUMBER
CO
05
—
63126265
—
CO
Enumeration date
09/30/2008
Last updated
07/21/2022
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