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NPI Code Detail

MEDICARE: DR. THOMAS HOWARD HADDUCK M.D.

MEDICARE: DR. THOMAS HOWARD HADDUCK 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
1207Q00000XFamily Medicine PhysicianDR.0019406CO

General Provider Information

NPI Number : 1801862883
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS HOWARD HADDUCK M.D.
Provider Business Mailing Address
First Line : 3701 S BROADWAY
Second Line :
City : ENGLEWOOD
State : CO
Zip : 80113-3611
Country : US
Telephone Number : 303-360-6276
Fax Number : 303-467-5355
Provider Business Practice Location Address
First Line : 1666 ELMIRA ST
Second Line :
City : AURORA
State : CO
Zip : 80010-2122
Country : US
Telephone Number : 303-340-0415
Fax Number : 303-340-7824
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 08/03/2016

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