Individual
STEPHANIE R FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7525 E 82ND ST STE A, INDIANAPOLIS, IN 46256-1409
(317) 621-1670
(317) 621-1680
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01070477A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201045780
—
IN
01
—
P01058806
RR MEDICARE PTAN
IN
Enumeration date
10/31/2008
Last updated
11/27/2023
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