Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 6545 | CO |
NPI | 1215021977 |
---|---|
Provider Name | Dr. Paul Thomas |
First Address | Aurora, CO 80014-2735 |
Second Address | Aurora, CO 80014-2735 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 08/03/2013 |