Provider Demographics
NPI:1588664841
Name:FOREST, DONALD ALAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:ALAN
Last Name:FOREST
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3540 S POPLAR ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-1362
Mailing Address - Country:US
Mailing Address - Phone:303-226-0013
Mailing Address - Fax:303-757-6148
Practice Address - Street 1:3540 S POPLAR ST
Practice Address - Street 2:SUITE 200
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-1362
Practice Address - Country:US
Practice Address - Phone:303-226-0013
Practice Address - Fax:303-757-6148
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2008-02-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO30816207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO8706899288003OtherROCKY MOUTAIN HMO
CO32889OtherANTHEM BC/BS
CO4138476OtherAETNA HMO
CO01308162Medicaid
CO87068925802OtherPACIFICARE HMO
CO8706899288003OtherROCKY MOUTAIN HMO
CO32889OtherANTHEM BC/BS