MR. Thomas Base

NPI #1063787158 in Boulder, Colorado

Provider Information

NPI Number
1063787158
Entity Type
Individual
Name
MR. Thomas Base
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician, Other
Enumeration Date
Mar 21, 2012
Last Updated
Mar 28, 2013

Practice Location

Address
1333 IRIS AVE
ZIP Code
80304-2226
Phone
(303) 413-6294

Specialties & Taxonomy Codes

Specialty
Technician, Other

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