Doctor Name: | THOMAS J KOEHLER |
NPI Number: | 1952445660 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | R.PH, BCPS |
License Number: | 12533 |
Business Practice Address: | 16601 E Centretech Pkwy Aurora, CO - 800119045 |
Business Phone Number: | 3037393594 |
Business Fax Number: | |
Mailing Address: | 1707 S Logan St, DENVER |
State: | CO |
Postal Code: | 802103123 |
Phone Number: | 3037789808 |
Fax Number: | |
NPI Enumeration Date: | 02/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 12533 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |