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NPI Code Detail

MEDICARE: DR. THOMAS ANH PHAM MD

MEDICARE: DR. THOMAS ANH PHAM MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianDR.0053133CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225088842
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS ANH PHAM MD
Provider Business Mailing Address
First Line : 1420 W MIDWAY BLVD
Second Line :
City : BROOMFIELD
State : CO
Zip : 80020-2090
Country : US
Telephone Number : 303-466-4081
Fax Number : 303-466-1866
Provider Business Practice Location Address
First Line : 1420 W MIDWAY BLVD
Second Line :
City : BROOMFIELD
State : CO
Zip : 80020-2090
Country : US
Telephone Number : 303-466-1866
Fax Number : 303-466-4081
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 12/04/2025

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