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Organization
THUNDER MEDICAL, P.C.
Active
Organization
THUNDER MEDICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ALBERT ODOM III (PRESIDENT)
(303) 278-0392
Entity
Organization
Contact information
Practice address
3984 YOUNGFIELD ST, WHEAT RIDGE, CO 80033-3865
(303) 278-0392
(303) 278-0612
Mailing address
3984 YOUNGFIELD ST, WHEAT RIDGE, CO 80033-3865
(303) 278-0392
(303) 278-0612
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
NULL
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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