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Individual

DR. THOMAS M FACELLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 INDIANA ST, SUITE 300, GOLDEN, CO 80401-5027
(303) 985-2550
(303) 985-2586
Mailing address
PO BOX 29048, MSC: 230, PHOENIX, AZ 85038-9048
(303) 985-2550
(303) 985-2586

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
DR.0054957
CO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
11/01/2010
Last updated
08/03/2015
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