Individual
THOMAS THEODORE DEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
3292 PEORIA ST, AURORA, CO 80010-1517
(303) 360-6276
(303) 343-0664
Mailing address
3701 S BROADWAY, ENGLEWOOD, CO 80113-3611
(303) 360-6276
(303) 761-2787
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1629922
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0993616-NP
CO
Other
Enumeration date
11/10/2017
Last updated
10/22/2018
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