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Individual

DR. RICHARD JAY FOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4743 ARAPAHOE AVE, #102, BOULDER, CO 80303-1113
(303) 449-3642
(303) 440-7298
Mailing address
4743 ARAPAHOE AVE, #102, BOULDER, CO 80303-1113
(303) 449-3642
(303) 440-7298

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
40751
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
73459879
CO
01
FOF60580
BLUE CROSS BLUE SHIELD
Enumeration date
10/23/2006
Last updated
02/19/2020
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