Healthcare Provider Details

I. General information

NPI: 1992288955
Provider Name (Legal Business Name): THE THERMOGRAM CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2018
Last Update Date: 09/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 CENTER GREEN DR STE 260
BOULDER CO
80301-2319
US

IV. Provider business mailing address

2295 ALPINE DR
ERIE CO
80516-4684
US

V. Phone/Fax

Practice location:
  • Phone: 303-664-1139
  • Fax: 303-664-1146
Mailing address:
  • Phone: 303-870-2659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: MS. TIRZA DERFLINGER
Title or Position: PRESIDENT
Credential: CTT
Phone: 303-664-1139