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Individual

DR. JOSHUA COLE TATUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2429 35TH AVE, GREELEY, CO 80634-4171
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101255786
VA
207Q00000X
Family Medicine Physician
Primary
DR.0072994
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
029728
KAISER COMMERCIAL NUMBER
CO
Enumeration date
05/09/2012
Last updated
06/23/2025
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