Individual
STEPHANIE M FOSBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
825 SE BISHOP BLVD, SUITE 200, PULLMAN, WA 99163-5517
(509) 332-2517
(509) 334-9247
Mailing address
825 SE BISHOP BLVD, SUITE 200, PULLMAN, WA 99163-5517
(509) 332-2517
(509) 334-9247
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M-10741
ID
207R00000X
Internal Medicine Physician
Primary
MD60022454
WA
Other
Enumeration date
08/30/2006
Last updated
07/09/2025
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