Individual
JASON TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101263129
VA
207L00000X
Anesthesiology Physician
Primary
CDR.0003046
CO
207L00000X
Anesthesiology Physician
R7338
TX
208D00000X
General Practice Physician
0101263129
VA
Other
Enumeration date
03/30/2016
Last updated
02/04/2025
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