Organization
BOULDER MANAGEMENT SERVICES ORGANIZATION
Active
Other names
The Thayer Group for Womens Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID O THAYER MD (PHYSICIAN OWNER)
(303) 443-2010
Entity
Organization
Contact information
Practice address
1155 ALPINE, SUITE 230, BOULDER, CO 80304
(303) 443-2010
(303) 443-7882
Mailing address
PO BOX 802, BROOMFIELD, CO 80038-0802
(303) 465-1303
(303) 404-2943
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
27055
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21206775
—
CO
01
—
44936
BCBS
CO
Enumeration date
12/19/2006
Last updated
08/22/2020
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