Organization
CENTER FOR ORTHOPEDIC EXCELLENCE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TROY DALE FOSTER D.O. (PARTNER/PHYSICIAN)
(304) 263-5129
Entity
Organization
Contact information
Practice address
1008 TAVERN RD, SUITE 102, MARTINSBURG, WV 25401-2801
(304) 263-5129
Mailing address
1008 TAVERN RD, SUITE 102, MARTINSBURG, WV 25401-2801
(304) 263-5129
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
7713-23954
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001710860
MOUNTAIN STATE BLUE CROSS
WV
05
—
4000106000
—
WV
Enumeration date
11/03/2006
Last updated
07/06/2010
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