Individual provider · Type 1 NPI

Douglas Goforth, DPM

Foot & Ankle Surgery Podiatrist · Fruita, CO

NPI number 1942534334 Active

Practice location

401 Kokopelli Blvd Ste 1
Fruita, CO 81521-3308

Fax (970) 858-1196

Mailing address

PO Box 130
Fruita, CO 81521-0130

Other practice locations

  • 300 W Ottley Ave, Fruita, CO 81521-2118 · (970) 858-2186

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XPOD.0000712 (CO)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1942534334

Douglas Goforth, DPM's National Provider Identifier is 1942534334, issued on Oct 1, 2009. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Fruita, CO. The record was last updated on Nov 23, 2020.