Individual
BRENT MADISON THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1055 CLERMONT ST, DENVER, CO 80220-3808
(303) 039-9802
Mailing address
1055 CLERMONT ST, DENVER, CO 80220-3808
(303) 039-9802
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225000000X
ORTHO PROSTH FITTER
CO
Enumeration date
11/05/2008
Last updated
11/05/2008
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