Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0127X | Trauma Surgeon | DR51972 | CO |
Y | 2086S0129X | Vascular Surgeon | DR51972 | CO |
NPI | 1477612729 |
---|---|
Provider Name | Dr. Charles James Fox |
First Address | Denver, CO 80204-0001 |
Second Address | Denver, CO 80204-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 14/11/2014 |