Organization
BIG THOMPSON EMERGENCY PHYSICIANS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK E DIXON M.D. (PHYSICIAN)
(303) 306-7783
Entity
Organization
Contact information
Practice address
2000 N. BOISE AVE., LOVELAND, CO 80538-7282
(970) 635-4071
Mailing address
P.O. BOX 173817, DENVER, CO 80217-8643
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04002366
—
CO
Enumeration date
11/23/2005
Last updated
01/04/2016
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