Organization
JOHN FOX BERSHOF MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FOX BERSHOF M.D. (OWNER)
(303) 399-7662
Entity
Organization
Contact information
Practice address
4500 E 9TH AVE, 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
08/17/2007
Last updated
11/04/2010
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