Individual
DR. CLAYTON LEE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
78-6831 ALII DR STE 422, KAILUA KONA, HI 96740-5402
(808) 747-8321
(808) 322-6005
Mailing address
73-1331 NAWAHIE LOOP, KAILUA KONA, HI 96740-8533
(205) 602-3311
(720) 759-3462
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0054823
CO
207RI0200X
Infectious Disease Physician
CDRH.0054823
CO
207RI0200X
Infectious Disease Physician
DR.00654823
CO
207RI0200X
Infectious Disease Physician
Primary
MD-22161
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42132738
—
CO
Enumeration date
03/28/2011
Last updated
07/06/2022
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