Individual
DR. THOMAS THEODORE HEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UCHEALTH PULMONOLOGY CLINIC, 2121 E HARMONY ROAD SUITE 300, FORT COLLINS, CO 80528-3403
(970) 224-9102
(970) 224-9112
Mailing address
UCHEALTH PULMONOLOGY CLINIC, 2121 E HARMONY ROAD SUITE 300, FORT COLLINS, CO 80528-3403
(970) 224-9102
(970) 224-9112
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
A141859
CA
207RP1001X
Pulmonary Disease Physician
Primary
DR.0053921
CO
Other
Enumeration date
04/22/2011
Last updated
10/03/2019
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