Individual
DR. THOMAS BRADLEY STRANDNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4090 BRIARGATE PKWY, COLORADO SPRINGS, CO 80920-7815
(720) 777-1234
Mailing address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125-052532
IL
207LP3000X
Pediatric Anesthesiology Physician
55570-20
WI
207LP3000X
Pediatric Anesthesiology Physician
Primary
DR.0051539
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125-052532
STATE LICENSE NUMBER
IL
01
—
55570-20
STATE LICENSE WI
WI
01
—
DR.0051539
COLORADO MEDICAL LICENSE
CO
Enumeration date
10/29/2008
Last updated
07/16/2020
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