Individual
MR. JAMES RICHARD FOJTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
USA MEDDAC, EVANS ARMY COMMUNITY HOSPITAL, TOOELE ARMY DEPOT, BLDG 400, FORT CARSON, CO 80913-4604
(435) 833-2572
(435) 833-3933
Mailing address
USA MEDDAC, EVANS ARMY COMMUNITY HOSPITAL, 1650 COCHRANE CIRCLE, ATTN: CREDENTIALS OFFICE, FORT CARSON, CO 80913-4604
(719) 526-7844
(719) 526-7984
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
104029-1206
UT
Other
Enumeration date
01/26/2006
Last updated
07/08/2007
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