Individual
RITA E THIEME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1001 S PERRY ST, SUITE 101B, CASTLE ROCK, CO 80104-2668
(303) 688-2228
(303) 663-0640
Mailing address
1001 S PERRY ST, SUITE 101B, CASTLE ROCK, CO 80104-2668
(303) 688-2228
(303) 663-0640
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
31685
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01316850
—
CO
Enumeration date
01/02/2006
Last updated
07/09/2007
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