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Individual

MR. THOMAS NEIL CHISHOLM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3540 S POPLAR ST, SUITE 200, DENVER, CO 80237-1362
(303) 226-0013
(303) 757-6148
Mailing address
3540 S POPLAR ST, SUITE 200, DENVER, CO 80237-1362
(303) 226-0013
(303) 757-6148

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25364
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01253640
CO
01
29599
ANTHEM BC/BS PROVIDER ID
CO
01
4137337
AETNA HMO PROVIDER ID
CO
01
870689258002
ROCKY MOUNTAIN HMO ID
CO
01
P00064924
MEDICARE RAIL ROAD ID
CO
Enumeration date
07/28/2005
Last updated
02/20/2008
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