Organization
DR. THOMAS AUTOBEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS AUTOBEE DDS (DENTIST)
(719) 543-8940
Entity
Organization
Contact information
Practice address
108 E PITKIN AVE, PUEBLO, CO 81004-2110
(719) 543-8940
(719) 543-9926
Mailing address
108 E PITKIN AVE, PUEBLO, CO 81004-2110
(719) 543-8940
(719) 543-9926
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00104104
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02041044
—
CO
Enumeration date
05/12/2017
Last updated
05/12/2017
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