# DAVID J. FOSCUE, M.D. PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Foscue Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164452371
- **Authorized official:** TERESA J FOSCUE (MANAGER)
- **Authorized official phone:** (870) 226-2844

## Contact information

- **Practice address:** 113 W CYPRESS ST, WARREN, AR 71671-2730
- **Practice address phone:** (870) 226-2844
- **Practice address fax:** (870) 226-5200
- **Mailing address:** 113 W CYPRESS ST, WARREN, AR 71671-2730
- **Mailing address phone:** (870) 226-2844
- **Mailing address fax:** (870) 226-5200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E0549 | AR | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 12/03/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1164452371 | — | AR |
| 05 | — | 127887001 | — | AR |
| 05 | — | 127969002 | — | AR |