Provider Demographics
NPI:1679576151
Name:FLOWER, THOMAS JAMES (DO)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:JAMES
Last Name:FLOWER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2122 9TH ST
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80631-3089
Mailing Address - Country:US
Mailing Address - Phone:970-356-7555
Mailing Address - Fax:970-356-3311
Practice Address - Street 1:2122 9TH ST
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-3089
Practice Address - Country:US
Practice Address - Phone:970-356-7555
Practice Address - Fax:970-356-3311
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-27
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO18790207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01187905Medicaid
CO84-0768567OtherTAX ID
CO84-0768567OtherTAX ID
COC3832Medicare PIN