Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK L. THORNE, MD
Active Sole ProprietorJACK L. THORNE, MD is a Obstetrics & Gynecology healthcare provider located in GRAND LAKE, Colorado. NPI 1740533769 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · GRAND LAKE, CO
Registration Details
- NPI Number
- 1740533769
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2012 (13.849201587959 yrs)
- Last Updated
- Oct 16, 2012
- License
-
15603 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
124 COUNTRY ROAD 4955GRAND LAKE, CO, 804470524Browse CO providers · Browse ZIP 80447
- Phone
- 9705310284
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.