Individual
DONALD FOUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
219 PHYSICIANS PARK, POPLAR BLUFF, MO 63901-3956
(573) 686-5550
Mailing address
14102 CHRISTY LN, POPLAR BLUFF, MO 63901-9750
(573) 686-5550
(573) 686-2139
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
099888
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184883
IND BCBS
MS
05
—
914652839
—
MO
01
—
P00069536
RAILROAD MEDICARE
MO
Enumeration date
01/10/2006
Last updated
05/11/2011
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