Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35227 | CO |
N | 111NI0900X | Internist | 35227 | CO |
Y | 207RN0300X | Nephrologist | 35227 | CO |
NPI | 1033194022 |
---|---|
Provider Name | Stephen D Fox |
First Address | Colorado Springs, CO 80909-2800 |
Second Address | Colorado Springs, CO 80909-2800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2005 |
Last Update Date | 11/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01352277 | (05) | CO |
F40182 | (02) |