Organization
FOSTER FAMILY MEDICINE & ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY ALAN FOSTER D.O. (PRESIDENT)
(660) 263-1513
Entity
Organization
Contact information
Practice address
300 N MORLEY ST, MOBERLY, MO 65270-2334
(660) 263-1513
(660) 263-1795
Mailing address
401 N KEENE ST, MEDICAL NETWORK TECHNOLOGIES, COLUMBIA, MO 65201-6625
(573) 874-3300
(573) 876-1601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
101628
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500448204
—
MO
Enumeration date
08/04/2006
Last updated
09/05/2012
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