MEDICARE: DR. DONALD ALAN FOREST M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	30816	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8706899288003	OTHER	CO	ROCKY MOUTAIN HMO
2	32889	OTHER	CO	ANTHEM BC/BS
3	4138476	OTHER	CO	AETNA HMO
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	87068925802	OTHER	CO	PACIFICARE HMO

General Provider Information

NPI Number	:	1588664841
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD ALAN FOREST M.D.

Provider Business Mailing Address
First Line	:	3540 S POPLAR ST
Second Line	:	SUITE 200
City	:	DENVER
State	:	CO
Zip	:	80237-1362
Country	:	US
Telephone Number	:	303-226-0013
Fax Number	:	303-757-6148

Provider Business Practice Location Address
First Line	:	3540 S POPLAR ST
Second Line	:	SUITE 200
City	:	DENVER
State	:	CO
Zip	:	80237-1362
Country	:	US
Telephone Number	:	303-226-0013
Fax Number	:	303-757-6148

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	02/20/2008

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