Basic Information
Provider Information
NPI: 1992752513
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARGO
FirstName: TANYA
MiddleName: S.
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 668
Address2:  
City: ARVADA
State: CO
PostalCode: 800010668
CountryCode: US
TelephoneNumber: 3034229438
FaxNumber: 3034229474
Practice Location
Address1: 9395 CROWN CREST BLVD
Address2:  
City: PARKER
State: CO
PostalCode: 801388573
CountryCode: US
TelephoneNumber: 3034229438
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/28/2006
LastUpdateDate: 09/16/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X35141COY Allopathic & Osteopathic PhysiciansAnesthesiology 

ID Information
IDTypeStateIssuerDescription
0135141005CO MEDICAID


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