Individual
VONGPHETH LUANGPHAXAY MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 S POTOMAC ST, AURORA, CO 80012-5411
(303) 306-7783
(303) 306-7753
Mailing address
PO BOX 173862, DENVER, CO 80217-3862
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
48651
CO
208000000X
Pediatrics Physician
MD00046618
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8459422
—
WA
05
—
95002782
—
CO
01
—
P00835980
RAILROAD PIN
CO
Enumeration date
10/14/2006
Last updated
04/01/2014
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