# S. FOSTER EASLEY, DO. PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982039582
- **Authorized official:** MR. S. FOSTER EASLEY III DO (OWNER)
- **Authorized official phone:** (602) 973-8285

## Contact information

- **Practice address:** 7878 N 16TH ST, PHOENIX, AZ 85020-4449
- **Practice address phone:** (602) 308-7817
- **Practice address fax:** (602) 277-8146
- **Mailing address:** 1530 W GLENDALE AVE, SUITE: 104, PHOENIX, AZ 85021-8578
- **Mailing address phone:** (602) 973-8285
- **Mailing address fax:** (602) 973-8248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 3212 | AZ | Yes |

## Other

- **Enumeration date:** 09/13/2013
- **Last updated:** 09/13/2013