Healthcare Provider Details

I. General information

NPI: 1871669226
Provider Name (Legal Business Name): DAVID WILLIAM FOERSTER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6305 WATERFORD BLVD STE #115
OKLAHOMA CITY OK
73118
US

IV. Provider business mailing address

6305 WATERFORD BLVD STE #115
OKLAHOMA CITY OK
73118
US

V. Phone/Fax

Practice location:
  • Phone: 405-848-3459
  • Fax: 405-848-5401
Mailing address:
  • Phone: 405-848-3459
  • Fax: 405-848-5401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number7255
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: