Provider Demographics
NPI:1467042747
Name:VERITAS MEN'S CLINIC
Entity Type:Organization
Organization Name:VERITAS MEN'S CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:720-450-1690
Mailing Address - Street 1:215 UNION BLVD STE 320
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1839
Mailing Address - Country:US
Mailing Address - Phone:720-450-1690
Mailing Address - Fax:720-453-2859
Practice Address - Street 1:215 UNION BLVD STE 320
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1839
Practice Address - Country:US
Practice Address - Phone:720-450-1690
Practice Address - Fax:720-453-2859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-21
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Single Specialty