Healthcare Provider Details

I. General information

NPI: 1528205473
Provider Name (Legal Business Name): THO Q TRUONG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: QUY THO TRUONG M.D.

II. Dates (important events)

Enumeration Date: 01/14/2009
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1635 AURORA CT
AURORA CO
80045-2541
US

IV. Provider business mailing address

PO BOX 110429
AURORA CO
80042-0429
US

V. Phone/Fax

Practice location:
  • Phone: 720-848-0000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number48152
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number48152
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number48152
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: