Individual
THOMAS HOWARD SOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
620 IRIS DR, STERLING, CO 80751-4716
(970) 522-7266
(970) 522-4258
Mailing address
620 IRIS DR, STERLING, CO 80751-4716
(970) 522-7266
(970) 522-4258
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36149
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1361492
—
CO
Enumeration date
03/17/2006
Last updated
04/02/2015
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