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Individual

MR. THOMAS S GOOD

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
N.P.

Contact information

Practice address
2121 E HARMONY RD, UNIT 100, FORT COLLINS, CO 80528-3401
(970) 221-1000
(970) 221-1544
Mailing address
2121 E HARMONY RD, UNIT 100, FORT COLLINS, CO 80528-3401
(970) 221-1000
(970) 221-1544

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
108964
CO
363LF0000X
Family Nurse Practitioner
60261
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
82475814
CO
Enumeration date
06/23/2005
Last updated
07/09/2007
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