Individual
DR. THANH TAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
44885
TN
207LP3000X
Pediatric Anesthesiology Physician
44885
TN
207LP3000X
Pediatric Anesthesiology Physician
Primary
DR.0059558
CO
Other
Enumeration date
01/05/2008
Last updated
03/17/2018
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