Wiard, Thomas Dawson

Wiard, Thomas Dawson is an individual health care provider with primary practice located at 947 S 5Th St , Montrose CO 81401-5716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wiard, Thomas Dawson can be contacted via phone (970) 249-2421.

Contact Information

Primary practice address
947 S 5Th St Montrose CO 81401-5716
Phone: (970) 249-2421
Fax: (970) 249-8897
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 28168 Colorado

Profile Details

NPI number 1760483622
LBN Legal business name Wiard, Thomas Dawson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Apr 3rd, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760483622 NPPES
Colorado MEDICAID 01281682

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