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Individual

THOMAS A. SYVERUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1819 DENVER WEST DR, SUITE 200, GOLDEN, CO 80401-3118
(303) 422-9438
Mailing address
PO BOX 668, ARVADA, CO 80001-0668
(303) 422-9438

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
46886
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
46886
MEDICAL LICENSE
CO
05
74031759
CO
Enumeration date
04/20/2006
Last updated
10/28/2008
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