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Individual

DR. JOHN FOX BERSHOF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4500 E 9TH AVE, SUITE 100, DENVER, CO 80220-3900
(303) 399-7662
(303) 399-1314
Mailing address
4500 E 9TH AVE, SUITE 100, DENVER, CO 80220-3900
(303) 399-7662
(303) 399-1314

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26056
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
240005333
RAILROAD MEDICARE
CO
01
28323
BCBS
CO
Enumeration date
10/20/2006
Last updated
01/09/2012
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