Healthcare Provider Details

I. General information

NPI: 1205875747
Provider Name (Legal Business Name): CHRISTINE K. FOSTER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 E. MALL DRIVE
ST. GEORGE UT
84790
US

IV. Provider business mailing address

1055 N 500 W, ATT: CREDENTIALING
PROVO UT
84604
US

V. Phone/Fax

Practice location:
  • Phone: 801-374-2362
  • Fax: 801-429-8196
Mailing address:
  • Phone: 801-354-8225
  • Fax: 801-418-0941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number6354502-1205
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number63545021205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: