MEDICARE: DR. ADAM PAUL THOM 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	111NS0005X	Sports Physician Chiropractor	5629	CO

General Provider Information

NPI Number	:	1689904815
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADAM PAUL THOM D.C.

Provider Business Mailing Address
First Line	:	5900 S GAYLORD WAY
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80121-2602
Country	:	US
Telephone Number	:	303-980-4118
Fax Number	:	888-692-5190

Provider Business Practice Location Address
First Line	:	5900 S GAYLORD WAY
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80121-2602
Country	:	US
Telephone Number	:	303-980-4118
Fax Number	:	888-692-5190

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

Provider Enumeration Date	:	01/11/2010
Last Update Date	:	02/19/2016

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