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Individual

MR. DAVID BURLEIGH FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, FNP

Contact information

Practice address
1209 S 1ST AVE, PHOENIX, AZ 85003-2605
(602) 258-6797
Mailing address
9202 N 47TH DR, GLENDALE, AZ 85302-3603
(623) 980-6764
(757) 299-0453

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
370
AZ
363LF0000X
Family Nurse Practitioner
Primary
RN084673
AZ

Other

Enumeration date
02/14/2006
Last updated
02/24/2010
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