Individual
COURTNEY JO FOOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
70 S CLEVELAND AVE, WESTERVILLE, OH 43081-1397
(614) 890-8555
(614) 823-8881
Mailing address
70 S CLEVELAND AVE, WESTERVILLE, OH 43081-1397
(614) 890-8555
(614) 823-8881
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143559
—
OH
Enumeration date
09/02/2015
Last updated
11/16/2016
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