Basic Information
Provider Information
NPI: 1497001143
EntityType: 2
ReplacementNPI:  
OrganizationName: ANDREW M. HO MD
LastName:  
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Credential:  
OtherOrganizationName:  
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Mailing Information
Address1: 850 E HARVARD AVE
Address2: SUITE 455
City: DENVER
State: CO
PostalCode: 802105073
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 850 E HARVARD AVE
Address2: SUITE 455
City: DENVER
State: CO
PostalCode: 802105073
CountryCode: US
TelephoneNumber: 3037222724
FaxNumber: 3037223121
Other Information
ProviderEnumerationDate: 07/31/2012
LastUpdateDate: 07/31/2012
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: HO
AuthorizedOfficialFirstName: ANDREW
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 3037222724
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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