Individual
MARK JAMES FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1942 E MAIN ST, CORTEZ, CO 81321-3039
(970) 516-5500
(970) 516-2500
Mailing address
2577 MAIN AVE, DURANGO, CO 81301-5919
(970) 247-8382
(970) 259-4403
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1467
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43856560
—
NM
05
—
48529222
—
CO
05
—
750077
—
AZ
Enumeration date
10/14/2005
Last updated
06/17/2025
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