Individual
GILBERT FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16221 ST VINCENT WAY, SUITE 100, LITTLE ROCK, AR 72223
(501) 552-8150
(501) 552-8199
Mailing address
16221 ST VINCENT WAY, SUITE 100, LITTLE ROCK, AR 72223
(501) 552-8150
(501) 552-8199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C7692
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11116000000
QUALCHOICE
AR
01
—
120059
UNITED HEALTHCARE
AR
05
—
121439001
—
AR
01
—
54861
BLUE CROSS BLUE SHIELD
AR
Enumeration date
08/16/2005
Last updated
03/01/2012
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