Phan Tacs LLC

NPI #1629845409 in Lone Tree, Colorado

Provider Information

NPI Number: 1629845409
Entity Type: Organization
Organization Name: Phan Tacs LLC
Primary Specialty: Surgery
Enumeration Date: Dec 11, 2023
Last Updated: Dec 11, 2023

Practice Location

Address: 10103 RIDGEGATE PKWY STE 207
City: Lone Tree
State: Colorado
ZIP Code: 80124-5525
Phone: (720) 471-8710

Authorized Official

Name: DR. PETER PHAN, MD
Title: SOLE MEMBER
Phone: (720) 471-8710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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