Doctor Name: | MICHAEL TRAN |
NPI Number: | 1710104138 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 16409 |
Business Practice Address: | 2500 S Havana St Aurora, CO - 800141618 |
Business Phone Number: | 3033384685 |
Business Fax Number: | |
Mailing Address: | 2500 S Havana St, Cpcc, 3rd Floor AURORA |
State: | CO |
Postal Code: | 800141618 |
Phone Number: | 7205304291 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 16409 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |