Individual
KRISTOPHER L FOREMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
Mailing address
PO BOX 280, RANCHO MIRAGE, CA 92270-0280
(760) 340-3911
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A131754
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A1317540
BC/BS OF CA
CA
05
—
1346494044
—
CA
Enumeration date
11/07/2008
Last updated
08/20/2014
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