Individual
JOEL NATHAN FISHBEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
(303) 413-6223
Mailing address
345 UCB, BOULDER, CO 80309-5003
(610) 662-9165
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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