| Dr. Thomas Autobee | |
|
108 E Pitkin Ave Pueblo CO 81004-2110 | |
| (719) 543-8940 | |
| (719) 543-9926 |
| Full Name | Dr. Thomas Autobee |
|---|---|
| Speciality | Dentist |
| Location | 108 E Pitkin Ave, Pueblo, Colorado |
| Authorized Official Name and Position | Thomas Autobee (DENTIST) |
| Authorized Official Contact | 7195438940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Thomas Autobee 108 E Pitkin Ave Pueblo CO 81004-2110 Ph: (719) 543-8940 | Dr. Thomas Autobee 108 E Pitkin Ave Pueblo CO 81004-2110 Ph: (719) 543-8940 |
| NPI Number | 1386171056 |
|---|---|
| Provider Enumeration Date | 05/12/2017 |
| Last Update Date | 05/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386171056 | NPI | - | NPPES |
| 02041044 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 00104104 (Colorado) | Primary |
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