Individual
MR. MICHAEL BRUCE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
62 W 7TH AVE STE 420, SPOKANE, WA 99204-2321
(509) 626-9440
(509) 392-5671
Mailing address
PO BOX 31001-4114, PASADENA, CA 91110-0001
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-912
ID
363A00000X
Physician Assistant
Primary
PA60009293
WA
363AS0400X
Surgical Physician Assistant
PA60009293
WA
Other
Enumeration date
11/19/2007
Last updated
11/24/2025
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