Individual
DR. TAMMY THU ANH PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1375 E 20TH AVE, DENVER, CO 80205-5422
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
DR.0060759
CO
2084N0400X
Neurology Physician
MD170011
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028913
KAISER COMMERCIAL NUMBER
CO
05
—
9000165375
—
CO
Enumeration date
03/26/2012
Last updated
05/18/2023
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