Individual
SHANNON KAYE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2835 FORT MISSOULA RD BLDG 3, MISSOULA, MT 59804-7423
(406) 721-5600
Mailing address
PO BOX 7609, MISSOULA, MT 59807-7609
(406) 721-5600
(406) 721-3907
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
12383
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000910890
BCBSMT
MT
Enumeration date
07/10/2007
Last updated
06/21/2021
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