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Individual

DR. THOMAS KEVIN RICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2115 STUART AVE, ALAMOSA, CO 81101-2269
(719) 589-8008
(719) 589-8112
Mailing address
106 BLANCA AVE, ALAMOSA, CO 81101-2340
(719) 589-3000
(719) 587-1372

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
45376
CO
208100000X
Physical Medicine & Rehabilitation Physician
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
53938216
CO
01
840255530064
ROCKY MTN HEALTH PLANS
CO
01
P00423071
MEDICARE RAILROAD CARRIER
CO
01
RI45376
ANTHEM BC/BS
CO
Enumeration date
02/17/2006
Last updated
02/21/2008
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