Individual
MR. BRENDON TYLER FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
10103 RIDGEGATE PKWY STE 306, LONE TREE, CO 80124-5525
(541) 517-1206
Mailing address
10103 RIDGEGATE PKWY STE 306, LONE TREE, CO 80124-5525
(541) 517-1206
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3137
CNIM
—
Enumeration date
05/13/2016
Last updated
11/11/2020
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