Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 01033871A | IN |
N | 207VG0400X | Gynecologist | 42372 | CO |
NPI | 1194700179 |
---|---|
Provider Name | Steven A Foley |
First Address | Anderson, IN 46016-4338 |
Second Address | Anderson, IN 46016-4338 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2005 |
Last Update Date | 29/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D46976 | (02) | CO |