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Contact Information

TIEN THACH, MD
1400 E BOULDER ST STE 2508
COLORADO SPRINGS, CO80909
 Phone: 719-365-6999
 Fax: 719-365-2837
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for TIEN THACH · (Female)

NPI # 1013099530
Status Active
Credentials MD
Entity Individual
Enumeration date 10/20/2006
Last updated 01/08/2019 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • CO License # CDR.0000282
  • IL License # 18826
  • WA License # MD 60147196
  • WA License # ML20008755
Hospital affiliation(s)
  • MEMORIAL HOSPITAL CENTRAL - (Acute Care)
    1400 E BOULDER ST
    COLORADO SPRINGS, CO 80909
  • ST ELIZABETH HOSPITAL - (Critical Access)
    1450 BATTERSBY AVENUE
    ENUMCLAW, WA 98022
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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