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Organization

BIG THOMPSON MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDWARD A NORMAN MD (PRESIDENT)
(970) 663-0135
Entity
Organization

Contact information

Practice address
1627 E 18TH ST, LOVELAND, CO 80538-4209
(970) 663-0135
(970) 461-1422
Mailing address
1627 E 18TH ST, LOVELAND, CO 80538-4209
(970) 663-0135
(970) 461-1422

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19473
CO
207R00000X
Internal Medicine Physician
37927
CO
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
18320
CO
207V00000X
Obstetrics & Gynecology Physician
33354
CO
208000000X
Pediatrics Physician
31069
CO
2084N0400X
Neurology Physician
48281
CO
208M00000X
Hospitalist Physician
37823
CO
261QU0200X
Urgent Care Clinic/Center
27598
CO
363A00000X
Physician Assistant
2059
CO
363L00000X
Nurse Practitioner
89947
CO
367A00000X
Advanced Practice Midwife
61438
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04005062
CO
05
04117040
CO
05
04657045
CO
05
10374523
CO
05
12408221
CO
05
17223822
CO
05
40757820
CO
05
41736028
CO
05
43222820
CO
05
49422839
CO
05
61238864
CO
05
69579725
CO
05
71131523
CO
05
97728756
CO
05
98471881
CO
Enumeration date
07/09/2006
Last updated
01/06/2011
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