Healthcare Provider Details

I. General information

NPI: 1295798171
Provider Name (Legal Business Name): THOMAS A ESKESTRAND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 12/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 W FILLMORE ST
COLORADO SPRINGS CO
80907-6155
US

IV. Provider business mailing address

PO BOX 7206
COLORADO SPRINGS CO
80933-7206
US

V. Phone/Fax

Practice location:
  • Phone: 719-471-1101
  • Fax: 719-471-9637
Mailing address:
  • Phone: 719-471-1101
  • Fax: 719-471-9637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number26345
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: