DOUGLAS GOFORTH

FRUITA, CO
NPI1942534334
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: CO  POD.0000712)
Enumeration Date2009-10-01
Last Update Date2020-11-23
Business Address
DOUGLAS GOFORTH DPM
401 KOKOPELLI BLVD STE 1
FRUITA, CO 81521-3308
Phone number: 970-858-2530
Mailing Address
DOUGLAS GOFORTH DPM
PO BOX 130
FRUITA, CO 81521-0130
Phone number: 970-858-2186
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