Individual
DWAYNE BRYAN THOMASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3 OAKWOOD PARK PLZ, CASTLE ROCK, CO 80104-1887
(303) 688-0660
(303) 660-8029
Mailing address
1307 TWIN OAKS LN, CASTLE ROCK, CO 80109-9500
(303) 688-4314
(303) 660-8029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21863
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01218635
—
CO
Enumeration date
08/15/2006
Last updated
11/19/2009
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