Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 635 | CO |
Y | 213ES0000X | Sports Medicine | 635 | CO |
NPI | 1518990647 |
---|---|
Provider Name | Dr. Alan Ng |
First Address | Denver, CO 80230-7196 |
Second Address | Denver, CO 80230-7196 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2006 |
Last Update Date | 23/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01770785 | (05) | CO |
0330710001 | DMERC (01) | |
U85859 | (02) | CO |