Healthcare Provider Details

I. General information

NPI: 1871433029
Provider Name (Legal Business Name): HALEY FOSTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2223 REAGAN AVE UNIT 203
ROCK SPRINGS WY
82901-4469
US

IV. Provider business mailing address

PO BOX 3108
ROCK SPRINGS WY
82902-3108
US

V. Phone/Fax

Practice location:
  • Phone: 970-749-3238
  • Fax:
Mailing address:
  • Phone: 970-749-3238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number22-07743
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: