=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013996982
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | GREGORY THOMAS HIRONS M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/10/2006
-----------------------------------------------------
Last Update Date | 06/11/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7625 W 92ND AVE
-----------------------------------------------------
City | WESTMINSTER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80021-4567
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-254-7463
-----------------------------------------------------
Fax | 303-650-4118
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7625 W 92ND AVE
-----------------------------------------------------
City | WESTMINSTER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80021-4567
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-254-7463
-----------------------------------------------------
Fax | 303-650-4118
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number | 38235
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------