Individual
THOMAS ERIC EIDSON
Active
Individual
THOMAS ERIC EIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
50256
CO
202K00000X
Phlebology Physician
Primary
N9698
TX
207Q00000X
Family Medicine Physician
50256
CO
207Q00000X
Family Medicine Physician
N9698
TX
Other
Enumeration date
01/13/2009
Last updated
11/11/2022
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