Individual
DR. TERRANCE LEE FOUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-0900
Mailing address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-0900
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS-013053
PA
207X00000X
Orthopaedic Surgery Physician
OT-010503
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OS-013053
OS LISCENSE
PA
01
—
OT-010503
PA STATE TRAINING LICENSE
PA
Enumeration date
07/18/2007
Last updated
03/29/2021
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