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Individual

BONG T PHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
15901 E BRIARWOOD CIR, STE 200, AURORA, CO 80016-1599
(303) 269-2626
(303) 269-2620
Mailing address
15901 E BRIARWOOD CIR, STE 200, AURORA, CO 80016-1599
(303) 269-2626
(303) 269-2620

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0049010
CO
208M00000X
Hospitalist Physician
DR.0049010
CO
390200000X
Student in an Organized Health Care Education/Training Program
3011
CO

Other

Enumeration date
10/28/2008
Last updated
01/25/2023
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