Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | DR.0054823 | CO |
N | 111NI0900X | Internist | DR.0054823 | CO |
Y | 207RI0200X | Infectious Disease | CDRH.0054823 | CO |
N | 207RI0200X | Infectious Disease | DR.00654823 | CO |
NPI | 1003105255 |
---|---|
Provider Name | Dr. Clayton Lee Foster |
First Address | Denver, CO 80222-5944 |
Second Address | Denver, CO 80222-5944 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2011 |
Last Update Date | 06/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
42132738 | (05) | CO |