Individual provider · Type 1 NPI
Thomas Jacob Corson
General Practice Physician · Loveland, CO
NPI number
1265624811
Active
Practice location
2000 Boise Ave
Loveland, CO 80538-5006
Fax (970) 635-4177
Mailing address
PO Box 173817
Denver, CO 80217-3817
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine Physician | 207P00000X | 047701 (CT) |
| Emergency Medicine Physician | 207P00000X | 48063 (CO) |
| General Practice Physician | 208D00000X | 48063 (CO) |
| General Practice Physician Primary | 208D00000X | 047701 (CT) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1265624811
Thomas Jacob Corson's National Provider Identifier is 1265624811, issued on Aug 16, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Loveland, CO. The record was last updated on Jul 29, 2024.