Provider Demographics
NPI:1922403880
Name:NGUYEN, TRIEU (DC)
Entity Type:Individual
Prefix:DR
First Name:TRIEU
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12510 E ILIFF AVE
Mailing Address - Street 2:STE. 210
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-6376
Mailing Address - Country:US
Mailing Address - Phone:303-927-6181
Mailing Address - Fax:720-379-5827
Practice Address - Street 1:3545 S TAMARAC DR
Practice Address - Street 2:STE 170
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-1418
Practice Address - Country:US
Practice Address - Phone:303-564-5008
Practice Address - Fax:720-484-4329
Is Sole Proprietor?:No
Enumeration Date:2014-11-04
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 11239111N00000X
COCHR.0007315111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor