Individual
LOAN THU PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8405 W ALAMEDA AVE, LAKEWOOD, CO 80226
(720) 974-5000
Mailing address
8950 E LOWRY BLVD, DENVER, CO 80230
(888) 992-2464
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40215
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27409074
—
CO
Enumeration date
06/08/2006
Last updated
01/18/2018
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