Organization
SHARON QUACH DPM PC
Active
Other names
Advanced Foot and Ankle Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARON TRAN QUACH D.P.M (OWNER)
(303) 469-9292
Entity
Organization
Contact information
Practice address
12201 PECOS ST, SUITE # 400, WESTMINSTER, CO 80234-3888
(303) 469-9292
(303) 438-8951
Mailing address
12201 PECOS ST, SUITE # 400, WESTMINSTER, CO 80234-3888
(303) 469-9292
(303) 438-8951
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
651
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558388264
NPI
—
01
—
1801844519
TRICARE
CO
01
—
653789001
DME
CO
01
—
80405762
MEDICAID ID
CO
01
—
C0A107154
MEMORIAL PIN
CO
01
—
P00636035
MEDICARE RR
CO
Enumeration date
07/17/2006
Last updated
12/13/2012
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