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NPI Code Detail

MEDICARE: REBECCA JOY THOMAS NP

MEDICARE:   REBECCA JOY THOMAS  NP
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
1207Q00000XFamily Medicine Physician123059CO
2363LF0000XFamily Nurse Practitioner123059CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1123059OTHERCORN

General Provider Information

NPI Number : 1215090535
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA JOY THOMAS NP
Provider Business Mailing Address
First Line : 9116 W BOWLES AVE
Second Line : STE 3A
City : LITTLETON
State : CO
Zip : 80123-3476
Country : US
Telephone Number : 303-904-2600
Fax Number : 303-904-2655
Provider Business Practice Location Address
First Line : 9116 W BOWLES AVE STE 3A
Second Line :
City : LITTLETON
State : CO
Zip : 80123-3476
Country : US
Telephone Number : 303-904-2600
Fax Number : 303-232-8207
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2006
Last Update Date : 03/07/2023

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