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Organization

JOEL D FOSTER DPM PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOEL DAVID FOSTER DPM (OWNER)
(816) 246-4222
Entity
Organization

Contact information

Practice address
6 N.W. SYCAMORE ST, STE A, LEES SUMMIT, MO 64086-4703
(816) 246-4222
(816) 246-4223
Mailing address
6 N.W. SYCAMORE ST, SUITE A, LEES SUMMIT, MO 64086-4703
(816) 246-4222
(816) 246-4223

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
2000161864
MO
305R00000X
Preferred Provider Organization
Primary
12-00320
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
114125
MEDICARE ID TYPE 1
KS
01
114201
MEDICARE ID TYPE 2
KS
05
305899304
MO
01
DD1207
MEDICARE RAILROAD
01
K90A990
MEDICARE ID TYPE UNSPECIFIED
KS
01
P00209482
MEDICARE RAILROAD
Enumeration date
03/23/2007
Last updated
03/19/2012
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