Individual
THOMAS J MOHAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1530 MOUNT WOODMEN CT, COLORADO SPRINGS, CO 80919-1029
(949) 929-5440
(719) 365-7680
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-2420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-11259
NC
363A00000X
Physician Assistant
Primary
PA.0007240
CO
363A00000X
Physician Assistant
PA16602
CA
Other
Enumeration date
08/23/2006
Last updated
10/27/2023
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