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Individual

DR. NSANGOU TAMBANGRE GHOGOMU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
2013037129
MO
207Y00000X
Otolaryngology Physician
Primary
DR.0057929
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
028004
KAISER COMMERCIAL NUMBER
CO
Enumeration date
06/18/2009
Last updated
05/19/2021
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