NPI 1063787158

Thomas Base

Practitioner Other Technician Boulder, CO

Practice location

Address: 1333 Iris Ave, Boulder, CO 80304-2226
Phone: (303) 413-6294

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Colorado →

Registry record

NPI: 1063787158
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Mar 2012
Record last updated: 28 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.