Organization Name: | FOX INTEGRATED HEALTHCARE |
NPI Number: | 1932597598 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEREK B FOX (OWNER) |
Mailing Address: | 4750 W 120th Ave Unit 800 Westminster |
State: | CO US |
Postal Code: | 800203315 |
Phone Number: | 3034697066 |
Fax Number: | 3034697077 |
NPI Enumeration Date: | 01/06/2015 |
NPI Last Update Date: | 01/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 51221 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |