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Organization

BIG THOMPSON MEDICAL GROUP INC.

Active
Parent organization
BIG THOMPSON MEDICAL GROUP, INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
BIG THOMPSON MEDICAL GROUP, INC
Authorized official
DENNIS E DAHLEN (SR VP FINANCE)
(602) 747-4000
Entity
Organization

Contact information

Practice address
1813 CHEYENNE AVE, LOVELAND, CO 80538-4244
(970) 203-6801
(970) 203-6821
Mailing address
1627 E 18TH ST, LOVELAND, CO 80538-4209
(970) 663-0135
(970) 461-1422

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
61238864
CO
Enumeration date
04/07/2011
Last updated
04/27/2011
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