Individual
CECILIA MY TAM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-4949
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-4949
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
DR.76175
CO
208600000X
Surgery Physician
Primary
DR.76175
CO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/06/2018
Last updated
02/10/2026
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