Provider Demographics
NPI:1205185428
Name:TRICOMI, GIAN ANDRIAN (DO)
Entity Type:Individual
Prefix:DR
First Name:GIAN
Middle Name:ANDRIAN
Last Name:TRICOMI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3744
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80155-3744
Mailing Address - Country:US
Mailing Address - Phone:541-668-7615
Mailing Address - Fax:888-292-8448
Practice Address - Street 1:7326 RYAN GULCH RD
Practice Address - Street 2:
Practice Address - City:SILVERTHORNE
Practice Address - State:CO
Practice Address - Zip Code:80498-5192
Practice Address - Country:US
Practice Address - Phone:541-668-7615
Practice Address - Fax:888-837-6777
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-04
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDO165148208D00000X, 204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM