Organization
UROLOGY MIDWEST LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT STEPHEN FOSTER M.D. (OWNER)
(660) 826-7077
Entity
Organization
Contact information
Practice address
1715 S LAFAYETTE AVE, SEDALIA, MO 65301-7541
(660) 826-7077
(660) 826-4202
Mailing address
1715 S LAFAYETTE AVE, SEDALIA, MO 65301-7541
(660) 826-7077
(660) 826-4202
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
R6D16
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21098026
BLUE SHIELD
MO
05
—
507785707
—
MO
Enumeration date
04/23/2007
Last updated
05/10/2015
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