Patrice M Thibodeau, M.D.

NPI #1902992308 in Evergreen, Colorado

Provider Information

NPI Number: 1902992308
Entity Type: Individual
Name: Patrice M Thibodeau, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Oct 4, 2006
Last Updated: Jan 15, 2015

Practice Location

Address: 28000 MEADOW DRIVE #210
City: Evergreen
State: Colorado
ZIP Code: 80439
Phone: (303) 679-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Pediatrics	208000000X
Pediatrics - Adolescent Medicine — Adolescent Medicine	2080A0000X

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