Individual
DR. THOMAS DWIGHT MINO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8350 WCR 13 (COLORADO BLVD), SUITE 160, FIRESTONE, CO 80504
(303) 689-5160
(303) 689-5175
Mailing address
2480 W 26TH AVE, SUITE 200B EPN, DENVER, CO 80211-5309
(303) 467-4162
(303) 467-4156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32805
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01328053
—
CO
Enumeration date
12/28/2006
Last updated
03/13/2008
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