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Individual

THOMAS LEE ENGLERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1900 BOISE AVE, STE 410, LOVELAND, CO 80538-5004
(970) 667-2009
(970) 667-2103
Mailing address
1627 E 18TH ST, LOVELAND, CO 80538-4209
(970) 663-0135
(970) 461-1422

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20740
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01207406
CO
05
04011672
CO
Enumeration date
06/14/2005
Last updated
03/14/2008
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