Provider Demographics
NPI:1760455521
Name:FOA, RICHARD P (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:P
Last Name:FOA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3550 LUTHERAN PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-6017
Mailing Address - Country:US
Mailing Address - Phone:303-597-4444
Mailing Address - Fax:303-577-1444
Practice Address - Street 1:3550 LUTHERAN PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6017
Practice Address - Country:US
Practice Address - Phone:303-597-4444
Practice Address - Fax:303-577-1444
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2008-01-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO391582084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
COB93628Medicare UPIN
CO501138Medicare PIN