Individual
BAO HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
5920 MCINTYRE ST, GOLDEN, CO 80403-7445
(303) 949-1250
Mailing address
5920 MCINTYRE ST, GOLDEN, CO 80403-7445
(303) 949-1250
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0991108-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47285338
—
CO
Enumeration date
04/03/2014
Last updated
01/22/2016
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