Individual provider · Type 1 NPI
Jack L. Thorne, MD
Obstetrics & Gynecology Physician · Grand Lake, CO
Practice location
124 Country Road 4955
Grand Lake, CO 80447-0524
Mailing address
PO Box 524
Grand Lake, CO 80447-0524
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Physician Primary | 207V00000X | 15603 (CO) |
Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
About NPI 1740533769
Jack L. Thorne, MD's National Provider Identifier is 1740533769, issued on Oct 16, 2012. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Grand Lake, CO. The record was last updated on Oct 16, 2012.