Organization
BIG THOMPSON MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET PRINGLE (ACCOUNTING/CREDENTIALING)
(970) 613-4733
Entity
Organization
Contact information
Practice address
914 W 6TH ST, LOVELAND, CO 80537
(970) 667-3976
Mailing address
1627 E 18TH ST, LOVELAND, CO 80538
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44140
CO
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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