Healthcare Provider Details

I. General information

NPI: 1124088729
Provider Name (Legal Business Name): ARIANA B FOSTER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 03/27/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3085 N SWAN RD
TUCSON AZ
85712-1259
US

IV. Provider business mailing address

5115 E SAINT ANDREWS DR
TUCSON AZ
85718-1714
US

V. Phone/Fax

Practice location:
  • Phone: 520-323-3099
  • Fax: 520-323-3460
Mailing address:
  • Phone: 520-529-5502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number24019
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: