Individual
PATRICIA ANN FODOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1725 E BOULDER ST, STE 101, COLORADO SPRINGS, CO 80909-5768
(719) 365-6300
(719) 365-6094
Mailing address
8890 N UNION BLVD, STE 160, COLORADO SPRINGS, CO 80920-7799
(719) 365-9950
(719) 365-9969
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
32725
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14287820
—
CO
Enumeration date
08/17/2005
Last updated
01/17/2014
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