Individual
THOMAS PAUL GONSOULIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W COUNTY LINE RD, SUITE 330, HIGHLANDS RANCH, CO 80129-2342
(303) 795-5587
(303) 795-3404
Mailing address
200 W COUNTY LINE RD, SUITE 330, HIGHLANDS RANCH, CO 80129-2342
(303) 795-5587
(303) 795-3404
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
44032
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48757276
—
CO
01
—
97427055
MEDICAID GROUP NUMBER
CO
01
—
C810211
MEDICARE GROUP NUMBER
CO
Enumeration date
05/18/2006
Last updated
01/30/2013
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