Organization
SAN ANTONIO MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONY NGUYEN VANBANG MD (MANAGER)
(720) 666-5116
Entity
Organization
Contact information
Practice address
1701 S FEDERAL BLVD, UNIT D, DENVER, CO 80219-4898
(303) 936-1760
Mailing address
1701 S FEDERAL BLVD, UNIT D, DENVER, CO 80219-4898
(303) 936-1760
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
DR00054747
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50085034
—
CO
Enumeration date
05/26/2015
Last updated
09/13/2017
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