Individual
BROCK FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
508 MEDICAL CENTER BLVD, STE 360, CONROE, TX 77304
(936) 756-2229
(844) 274-2115
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A133997
CA
207X00000X
Orthopaedic Surgery Physician
MD60899476
WA
207XX0801X
Orthopaedic Trauma Physician
ME153253
FL
207XX0801X
Orthopaedic Trauma Physician
Primary
T9686
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121241600
—
FL
01
—
SI252
MEDICARE HFMG
FL
01
—
SI253
MEDICARE HFPS
FL
Enumeration date
05/01/2014
Last updated
02/19/2024
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