Individual
DR. CLAUDE CARL FOSDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
560 N CAMINO MERCADO STE 7, CASA GRANDE, AZ 85122-5759
(520) 836-5538
(844) 772-0049
Mailing address
560 N CAMINO MERCADO STE 7, CASA GRANDE, AZ 85122-5759
(520) 836-5538
(844) 772-0049
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13210
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13210
ARIZONA STATE LICENSE
AZ
05
—
296055
—
AZ
01
—
AZ0391880
BLUE CROSS BLUE SHIELD AZ
AZ
Enumeration date
06/20/2006
Last updated
08/11/2025
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