Individual
NGOC H PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1391 SCULPTOR DR UNIT 140, LOVELAND, CO 80537-5141
(970) 619-8870
Mailing address
1391 SCULPTOR DR UNIT 140, LOVELAND, CO 80537-5141
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0003403
CO
Other
Enumeration date
07/20/2018
Last updated
06/13/2022
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