MEDICARE: DR. PAUL THOMAS D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NN0400X	Neurology Chiropractor	6545	CO

General Provider Information

NPI Number	:	1215021977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL THOMAS D.C.

Provider Business Mailing Address
First Line	:	2821 S PARKER RD
Second Line	:	SUITE 185
City	:	AURORA
State	:	CO
Zip	:	80014-2735
Country	:	US
Telephone Number	:	720-984-5114
Fax Number	:

Provider Business Practice Location Address
First Line	:	2821 S PARKER RD
Second Line	:	SUITE 185
City	:	AURORA
State	:	CO
Zip	:	80014-2735
Country	:	US
Telephone Number	:	720-984-5114
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	03/08/2013

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