Individual
MR. JOHN GREGORY FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 557-2700
Mailing address
PO BOX 3206, IDAHO FALLS, ID 83403-3206
(208) 523-4906
(208) 523-2025
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704261371
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
558367
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
808402900
—
ID
Enumeration date
09/21/2007
Last updated
01/26/2026
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