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Individual

DR. JAMISON MARK FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
20033 N 19TH AVE, BLDG 3 SUITE 111, PHOENIX, AZ 85027-4245
(480) 332-3342
Mailing address
20033 N 19TH AVE, BLDG 3 SUITE 111, PHOENIX, AZ 85027-4245
(480) 332-3342

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
006198
AZ

Other

Enumeration date
10/20/2009
Last updated
08/20/2013
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