MEDICARE: THOMAS S MCCALL M.D.

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	208000000X	Pediatrics Physician	34707	CO

General Provider Information

NPI Number	:	1790840817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS S MCCALL M.D.

Provider Business Mailing Address
First Line	:	7780 S BROADWAY
Second Line	:	STE 220
City	:	LITTLETON
State	:	CO
Zip	:	80122-2648
Country	:	US
Telephone Number	:	303-795-2345
Fax Number	:	303-795-1003

Provider Business Practice Location Address
First Line	:	8671 S QUEBEC ST
Second Line	:	STE 110
City	:	HIGHLANDS RANCH
State	:	CO
Zip	:	80130-5859
Country	:	US
Telephone Number	:	303-795-2345
Fax Number	:	303-734-3977

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

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	07/08/2007

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Directions to “ THOMAS S MCCALL M.D.” Practice Location

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