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Individual

DR. RICHARD WANDS FOUST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AU.D.

Contact information

Practice address
252 MATCH FACTORY PL, BELLEFONTE, PA 16823-1366
(814) 355-1600
(814) 355-0300
Mailing address
921 TREASURE LK, DU BOIS, PA 15801-9023
(814) 470-6866

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT000019L
PA
231H00000X
Audiologist
AY1022
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
FO207010
BLUE CROSS AND BLUE SHIEL
PA
Enumeration date
01/11/2007
Last updated
07/23/2020
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