Provider Demographics
NPI:1245670405
Name:FOUTS, AMBER RYAN (MD)
Entity type:Individual
Prefix:DR
First Name:AMBER
Middle Name:RYAN
Last Name:FOUTS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 S PARK TERRACE AVE
Mailing Address - Street 2:#10-106
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3344
Mailing Address - Country:US
Mailing Address - Phone:303-956-8627
Mailing Address - Fax:
Practice Address - Street 1:7887 E BELLEVIEW AVE
Practice Address - Street 2:SUITE 1100
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80111-6015
Practice Address - Country:US
Practice Address - Phone:303-895-6371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0056485207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine