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Individual

BROCK FOSTER

Active
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Individual

BROCK FOSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

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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