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General NPI Number Information
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NPI Number | 1083862064
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Entity Type | Individual
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Provider Name | THOMAS WINSTANLEY VERTREES M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 7500 E ARAPAHOE RD STE 360
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City | CENTENNIAL
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State | CO
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Zip | 80112-6115
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Country | US
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Telephone | 720-630-1374
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Fax | 720-302-2044
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Provider Business Mailing Address
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Address Line | 7500 E ARAPAHOE RD STE 360
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City | CENTENNIAL
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State | CO
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Zip | 80112-6115
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Country | US
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Telephone | 720-630-1374
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Fax | 720-302-2044
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | DR.0050350
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License Number State | CO
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