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NPI Code Detail

MEDICARE: DR. DONALD WAYNE FOSTER JR. D.C.

MEDICARE:  DR. DONALD WAYNE FOSTER JR. D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor8010AZ

General Provider Information

NPI Number : 1154404259
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD WAYNE FOSTER JR. D.C.
Provider Business Mailing Address
First Line : 2131 E CRISTINA AVE
Second Line :
City : SIERRA VISTA
State : AZ
Zip : 85635-4109
Country : US
Telephone Number : 520-971-5232
Fax Number :
Provider Business Practice Location Address
First Line : 2131 E CRISTINA AVE
Second Line :
City : SIERRA VISTA
State : AZ
Zip : 85635-4109
Country : US
Telephone Number : 520-971-5232
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2006
Last Update Date : 07/08/2007

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Directions to “ DR. DONALD WAYNE FOSTER JR. D.C.” Practice Location

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