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Individual

WILL FOSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1099 MEDICAL CENTER CIR, MAYFIELD, KY 42066-1159
(931) 906-4623
Mailing address
200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA 70508-3870
(800) 893-9698

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
39401
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000337173
BCBS
05
64026230
KY
Enumeration date
06/02/2006
Last updated
01/18/2008
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