MEDICARE: DR. WILLIAM PAUL FOSTER MD

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
1	261QU0200X	Urgent Care Clinic/Center	12159	NE

General Provider Information

NPI Number	:	1215156096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM PAUL FOSTER MD

Provider Business Mailing Address
First Line	:	1202 ELDORADO RD
Second Line	:
City	:	NORFOLK
State	:	NE
Zip	:	68701-3036
Country	:	US
Telephone Number	:	402-992-2301
Fax Number	:	402-371-7350

Provider Business Practice Location Address
First Line	:	1202 ELDORADO RD
Second Line	:
City	:	NORFOLK
State	:	NE
Zip	:	68701-3036
Country	:	US
Telephone Number	:	402-992-2301
Fax Number	:	402-371-7350

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	07/08/2007

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