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Individual

DR. DAVID VIET PHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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
(303) 338-4545

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0055687
CO
208600000X
Surgery Physician
MD166925
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
026666
KAISER COMMERCIAL NUMBER
CO
05
34778748
CO
Enumeration date
06/08/2009
Last updated
06/11/2021
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