Provider Demographics
NPI:1609850056
Name:PAZIK, THOMAS J (MD)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:J
Last Name:PAZIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5890 W 13TH ST
Mailing Address - Street 2:STE 101
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-4821
Mailing Address - Country:US
Mailing Address - Phone:970-348-0020
Mailing Address - Fax:970-348-0044
Practice Address - Street 1:5890 W 13TH ST
Practice Address - Street 2:STE 101
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80634-4821
Practice Address - Country:US
Practice Address - Phone:970-348-0020
Practice Address - Fax:970-348-0044
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO34081207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
COPA38719OtherBLUE CROSS BLUE SHIELD
CO01340819Medicaid
P00059087OtherRAILROAD MEDICARE
105773800OtherDEPARTMENT OF LABOR
COC506408Medicare ID - Type Unspecified
105773800OtherDEPARTMENT OF LABOR
CO01340819Medicaid
COPA38719OtherBLUE CROSS BLUE SHIELD