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BRIANNA N FOX M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1417169624

Individual Registrant:
 BRIANNA N FOX M.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
111 6TH ST  HUGO, CO 80821 US
Tel: 719-743-2421  Fax: --

Contact information for business:
111 6TH ST  HUGO, CO 80821-2002 US
Tel: 719-743-2421  Fax: --

Registration Information:
NPI: 1417169624
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CODR.0061022
N390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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