Healthcare Provider Details

I. General information

NPI: 1861492050
Provider Name (Legal Business Name): DAVID WILLIAM FOULK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 S PROSPECT ST
MARION OH
43302-6225
US

IV. Provider business mailing address

PO BOX 7527
DUBLIN OH
43017-0727
US

V. Phone/Fax

Practice location:
  • Phone: 740-383-2776
  • Fax: 740-383-2978
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35-045197
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: