Healthcare Provider Details

I. General information

NPI: 1174587109
Provider Name (Legal Business Name): EDWARD HO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2006
Last Update Date: 02/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 E HARVARD AVE SUITE 455
DENVER CO
80210-5073
US

IV. Provider business mailing address

PO BOX 460041
GLENDALE CO
80246-0041
US

V. Phone/Fax

Practice location:
  • Phone: 303-722-2724
  • Fax: 303-722-3121
Mailing address:
  • Phone: 303-722-2724
  • Fax: 303-722-3121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number37440
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: