Provider Demographics
NPI:1275223612
Name:DAVID N PHAM MD CO
Entity Type:Organization
Organization Name:DAVID N PHAM MD CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:N
Authorized Official - Last Name:PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-717-7101
Mailing Address - Street 1:10800 E BETHANY DR STE 450
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2697
Mailing Address - Country:US
Mailing Address - Phone:720-795-9898
Mailing Address - Fax:
Practice Address - Street 1:10800 E BETHANY DR STE 450
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2697
Practice Address - Country:US
Practice Address - Phone:720-795-9898
Practice Address - Fax:720-500-6064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty