Individual
DR. MICHAEL I THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1355 RIVERSIDE AVE STE C, FORT COLLINS, CO 80524-4366
(970) 484-4620
Mailing address
2620 KIT FOX CT, FORT COLLINS, CO 80526-5283
(970) 377-0113
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
POD.0000460
CO
213ES0103X
Foot & Ankle Surgery Podiatrist
POD.0000460
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01004605
—
CO
05
—
113903700
—
WY
Enumeration date
06/23/2006
Last updated
01/10/2017
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