Organization
MINO FAMILY HEALTH CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS DWIGHT MINO II D.O. (PRESIDENT)
(303) 776-0330
Entity
Organization
Contact information
Practice address
1380 TULIP ST, SUITE C, LONGMONT, CO 80501-3157
(303) 776-0330
(303) 772-0736
Mailing address
1380 TULIP ST, SUITE C, LONGMONT, CO 80501-3157
(303) 776-0330
(303) 772-0736
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32805
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87758211
—
CO
Enumeration date
04/25/2006
Last updated
08/22/2020
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