Individual
DR. DALE H FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 LACEY ST, CAPE GIRARDEAU, MO 63701-5230
(573) 334-4822
Mailing address
1626 WHITENER ST, CAPE GIRARDEAU, MO 63701-5238
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2004030993
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208757500
—
MO
Enumeration date
10/10/2006
Last updated
07/08/2007
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