MEDICARE: HSIAO-WEI FANG L.AC.

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
1	171100000X	Acupuncturist	1298	CO

General Provider Information

NPI Number	:	1326240326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HSIAO-WEI FANG L.AC.

Provider Business Mailing Address
First Line	:	9356 HARRISON ST
Second Line	:
City	:	THORNTON
State	:	CO
Zip	:	80229-4261
Country	:	US
Telephone Number	:	720-320-8799
Fax Number	:

Provider Business Practice Location Address
First Line	:	2306 CENTRAL PARK BLVD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-3234
Country	:	US
Telephone Number	:	720-320-8799
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2007
Last Update Date	:	01/18/2017

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