Individual
DR. THOMAS A NICHOLAS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 E BOULDER ST STE 2508, COLORADO SPRINGS, CO 80909-5533
(719) 365-6999
(719) 365-2837
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4034
(970) 490-4347
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
24095
NE
207L00000X
Anesthesiology Physician
Primary
DR.0039499
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24095
NE STATE LICENSE
NE
Enumeration date
06/16/2006
Last updated
07/02/2021
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