Healthcare Provider Details

I. General information

NPI: 1194723973
Provider Name (Legal Business Name): LONG D VU D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 E CALEY AVE STE 150
CENTENNIAL CO
80111-6915
US

IV. Provider business mailing address

7400 E CALEY AVE STE 150
CENTENNIAL CO
80111-6915
US

V. Phone/Fax

Practice location:
  • Phone: 720-575-7878
  • Fax:
Mailing address:
  • Phone: 720-575-7878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberDR.0057244
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberDR.0057244
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberOP00002157
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberOP00002157
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberOP00002157
License Number StateWA
# 6
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberOP00002157
License Number StateWA
# 7
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberDR.0057244
License Number StateCO
# 8
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License NumberOS-9477
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: