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Individual

DR. THOMAS GOTTLIEB

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9950 W 80TH AVE, #23, ARVADA, CO 80005-3927
(303) 425-1018
(303) 432-4770
Mailing address
1707 COLE BLVD, STE 250, GOLDEN, CO 80401-3220
(303) 763-4900
(303) 763-5495

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15276
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01152768
CO
Enumeration date
07/05/2005
Last updated
07/08/2007
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