Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 01061651A | IN |
N | 208600000X | Surgeon | 01061651A | IN |
N | 2086S0120X | Pediatric Surgery | 01061651A | IN |
N | 2086S0120X | Pediatric Surgery | 35078129 | OH |
Y | 2086S0120X | Pediatric Surgery | DR.0057836 | CO |
N | 2086S0120X | Pediatric Surgery | MD2018-0046 | NM |
NPI | 1619946407 |
---|---|
Provider Name | Thomas Harris Inge |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-7106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2006 |
Last Update Date | 19/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H22286 | (02) |