Individual
DR. TERESA REBIBO FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4840 RIVERBEND RD, 100, BOULDER, CO 80301-2659
(303) 601-4222
Mailing address
4840 RIVERBEND RD, 100, BOULDER, CO 80301-2659
(303) 601-4222
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
41031
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65158253
—
CO
Enumeration date
03/30/2009
Last updated
01/26/2015
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