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Individual

QUY MONG TRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1023 S FEDERAL BLVD, DENVER, CO 80219-4101
(303) 936-4966
Mailing address
1023 S FEDERAL BLVD, DENVER, CO 80219-4101
(303) 936-4966

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25994
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01259944
CO
Enumeration date
03/01/2007
Last updated
07/08/2007
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