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NPI Code Detail

MEDICARE: THOMAS PRITCHARD MED

MEDICARE: THOMAS PRITCHARD MED
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
1101YM0800XMental Health Counselor0013431CO

General Provider Information

NPI Number : 1285073221
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS PRITCHARD MED
Provider Business Mailing Address
First Line : PO BOX 1612
Second Line :
City : FORT COLLINS
State : CO
Zip : 80522-1612
Country : US
Telephone Number : 312-203-1498
Fax Number :
Provider Business Practice Location Address
First Line : 2509 RESEARCH BLVD
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-8108
Country : US
Telephone Number : 312-203-1498
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2013
Last Update Date : 06/24/2013

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Directions to “ THOMAS PRITCHARD MED” Practice Location

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