Individual
BRIAN FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3075 N RESERVE ST STE Q, MISSOULA, MT 59808-1390
(406) 327-1750
(406) 327-1960
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(406) 327-1750
(406) 327-1960
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
44394
MT
363A00000X
Physician Assistant
PA174030
OR
Other
Enumeration date
07/28/2015
Last updated
05/19/2021
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