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Individual
COREY FORSYTH
Active
Individual
COREY FORSYTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
PA.0007211
CO
363AS0400X
Surgical Physician Assistant
Primary
PA.0007211
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/28/2021
Last updated
02/15/2022
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