Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN1001X | Nutrition | 4312 | CO |
N | 111NS0005X | Chiropractic Sports Physician | 4312 | CO |
NPI | 1558408641 |
---|---|
Provider Name | Dr. David Scott Foster |
First Address | Eagle, CO 81631-3487 |
Second Address | Eagle, CO 81631 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U90267 | (02) | CO |