Doctor Name: | MRS. HEATHER ANNE THOMAS |
NPI Number: | 1043584279 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | CO 853 |
Business Practice Address: | 5995 Greenwood Plaza Blvd Suite 150 Greenwood Village, CO - 801114706 |
Business Phone Number: | 3037509454 |
Business Fax Number: | 3037501996 |
Mailing Address: | 5995 Greenwood Plaza Blvd, Suite 150 GREENWOOD VILLAGE |
State: | CO |
Postal Code: | 801114706 |
Phone Number: | 3037509454 |
Fax Number: | 3037501996 |
NPI Enumeration Date: | 03/06/2012 |
NPI Last Update Date: | 09/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | CO 853 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |