Individual
DR. GARRETT EDWIN FOULKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4370 LA JOLLA VILLAGE DR, SUITE 700, SAN DIEGO, CA 92122-1249
(858) 587-5318
Mailing address
773 ALTA VISTA WAY, ARROYO GRANDE, CA 93420-5102
(858) 354-8686
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G39817
CA
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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