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NPI Code Detail

MEDICARE: DR. THOMAS J STAFF MD

MEDICARE: DR. THOMAS J STAFF MD
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 Physician51394CO

General Provider Information

NPI Number : 1801833785
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS J STAFF MD
Provider Business Mailing Address
First Line : 2255 S ONEIDA ST
Second Line :
City : DENVER
State : CO
Zip : 80224-2522
Country : US
Telephone Number : 303-761-1977
Fax Number : 303-343-0247
Provider Business Practice Location Address
First Line : 7495 W 29TH AVE
Second Line :
City : WHEAT RIDGE
State : CO
Zip : 80033-8002
Country : US
Telephone Number : 303-360-6276
Fax Number : 303-789-7222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 01/24/2023

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