Individual
AN HONG TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2144 MAIN ST, LONGMONT, CO 80501-8402
(303) 772-0041
Mailing address
2144 MAIN ST STE 8, LONGMONT, CO 80501-8402
(303) 772-0041
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0007512
CO
363AS0400X
Surgical Physician Assistant
0200571
NY
363AS0400X
Surgical Physician Assistant
57844
CA
Other
Enumeration date
08/29/2016
Last updated
11/29/2022
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