Individual
DR. STEVEN R FOUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
124B NW MIDLAND AVE, GRANTS PASS, OR 97526-1267
(541) 474-2944
Mailing address
1208 BEALL LN, CENTRAL POINT, OR 97502-1573
(541) 664-5151
(541) 664-5155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD17523
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027768
—
OR
Enumeration date
08/29/2005
Last updated
11/30/2007
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