Provider Demographics
NPI:1306056536
Name:NGUYEN, JASON TAN (MD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:TAN
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1707 COLE BLVD
Mailing Address - Street 2:STE 100
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-3220
Mailing Address - Country:US
Mailing Address - Phone:303-716-8013
Mailing Address - Fax:303-763-5495
Practice Address - Street 1:777 BANNOCK ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-4597
Practice Address - Country:US
Practice Address - Phone:303-602-5011
Practice Address - Fax:303-602-5055
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2024-05-25
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Provider Licenses
StateLicense IDTaxonomies
CO47469207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine