Individual
DR. RICHARD S FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
535 BARNHILL DR, RT 420, INDIANAPOLIS, IN 46202-5112
(317) 944-3458
(317) 944-0174
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01030215A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000108387
ANTHEM PIN
IN
05
—
100205630
—
IN
Enumeration date
09/21/2005
Last updated
01/30/2014
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