Healthcare Provider Details

I. General information

NPI: 1932190972
Provider Name (Legal Business Name): ROBERT DOUGLAS FOSTER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2005
Last Update Date: 03/31/2025
Certification Date: 03/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 S GEAR AVE STE. 254
WEST BURLINGTON IA
52655-1691
US

IV. Provider business mailing address

PO BOX 540
WEST BURLINGTON IA
52655-0540
US

V. Phone/Fax

Practice location:
  • Phone: 319-768-3320
  • Fax: 319-768-3460
Mailing address:
  • Phone: 319-768-3320
  • Fax: 319-768-3460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number34151
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number36179
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: