Organization Name: | DOX4ALL PC |
NPI Number: | 1922464742 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIMOTHY RYSCHON (PRESIDENT) |
Mailing Address: | 1635 Foxtrail Dr Suite 337 Loveland |
State: | CO US |
Postal Code: | 805389086 |
Phone Number: | 9707443668 |
Fax Number: | 8666146108 |
NPI Enumeration Date: | 01/08/2016 |
NPI Last Update Date: | 01/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 43417 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |