Sonemala Phommatha is a Surgical in Aurora, Colorado. Sonemala Phommatha practices all healthcare services and medical treatments related to Surgical. The NPI Number for Sonemala Phommatha is 1720108830. The last update date is 2018-10-22.
Sonemala Phommatha's current location address is 12605 E 16th Ave, Aurora, Colorado. You can contact this provider via phone number 7208480000. The mailing address for Sonemala Phommatha is 12605 E 16th Ave, Aurora, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sonemala Phommatha |
|---|---|
| Address | 12605 E 16th Ave, Aurora, Colorado |
| Phone Number | 7208480000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1720108830 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2018-10-22 |
Provider Mailing Address Detail
| Address | 12605 E 16th Ave |
|---|---|
| City | Aurora |
| State | Colorado (CO) |
| Post Code | 800452545 |
| Phone Number | 7208480000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 2374 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 188291201 | TX | -- | |
| 8Y2613 | TX | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Sonemala Phommatha by the Centers for Medicare & Medicaid Services?
The Sonemala Phommatha has been issued the NPI (National Provider Identifier) 1720108830 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Sonemala Phommatha's facilities are situated?
The facilities of Sonemala Phommatha are physically located at the following address: 12605 E 16Th Ave, Aurora, CO, 800452545.
What is Sonemala Phommatha's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sonemala Phommatha is Surgical, and the taxonomy code that categorizes this field of expertise is 363As0400X.
On what date was the 1720108830 assigned to Sonemala Phommatha?
The Sonemala Phommatha was issued its 1720108830 on 2007-03-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Sonemala Phommatha last refreshed?
The information related to the Sonemala Phommatha, including its address, specialty, and other relevant details, was last updated on 2018-10-22.
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