Individual provider · Type 1 NPI

Percival Nam, MD

Student in an Organized Health Care Education/Training Program · Greeley, CO

NPI number 1194516567 Active

Practice location

1600 23rd Ave
Greeley, CO 80634-6070

Call (970) 810-2424 Map

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XTL.0011033 (CO)
Student in an Organized Health Care Education/Training Program Primary 390200000XTL.0011033 (CO)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194516567

Percival Nam, MD's National Provider Identifier is 1194516567, issued on May 15, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Greeley, CO. The record was last updated on Jun 3, 2025.