Individual
JONATHAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1419 FLANNAGAN CT, ERIE, CO 80516-6941
(832) 492-2959
Mailing address
1419 FLANNAGAN CT, ERIE, CO 80516-6941
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0996008
CO
Other
Enumeration date
11/08/2020
Last updated
11/08/2020
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