Individual
DR. PAUL W FONKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
131 STANLEY AVE, SUITE 202, ESTES PARK, CO 80517-6363
(970) 586-2343
(970) 586-9060
Mailing address
131 STANLEY AVE, SUITE 202, ESTES PARK, CO 80517-6363
(970) 586-2343
(970) 586-9060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28920
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01289206
—
CO
Enumeration date
04/12/2006
Last updated
01/03/2017
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