| NPI | 1063167211 |
|---|---|
| Doing Business As | BIG TREE MEDICAL GROUP LLC |
| Entity Type | Organization |
| Authorized Contact | ANTONY NGUYEN VANBANG Primary Provider 720-323-0621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-03-08 |