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Individual

DR. THOMAS CHRISTOPHER QUEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
DR.0060378
CO
207RG0100X
Gastroenterology Physician
MD2017-0250
NM
390200000X
Student in an Organized Health Care Education/Training Program
NM
390200000X
Student in an Organized Health Care Education/Training Program
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
028841
KAISER COMMERCIAL NUMBER
CO
05
9000164220
CO
Enumeration date
04/14/2011
Last updated
06/18/2021
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