Individual
JOHN CHRISTOPHER FUESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 S MAIN ST, SUITE E, LONGMONT, CO 80501-1716
(303) 485-8913
(303) 485-8914
Mailing address
205 S MAIN ST, SUITE E, LONGMONT, CO 80501-1716
(303) 485-8913
(303) 485-8914
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
42490
CO
207NS0135X
Procedural Dermatology Physician
42490
CO
Other
Enumeration date
08/18/2005
Last updated
05/11/2011
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