Organization
FRED M FOSS, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY WOODS CONWAY (CONTROLLER)
(509) 946-8985
Entity
Organization
Contact information
Practice address
948 STEVENS DR, SUITE A, RICHLAND, WA 99352-3547
(509) 946-5150
(509) 946-6547
Mailing address
948 STEVENS DR, SUITE A, RICHLAND, WA 99352-3547
(509) 946-5150
(509) 946-6547
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD00021421
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7115439
—
WA
Enumeration date
02/03/2006
Last updated
01/14/2009
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