Individual
COURTNEY FOREGGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4949 S HILLSDALE AVE., MERIDIAN, ID 83642
(208) 706-6400
Mailing address
1020 W FORT ST, BOISE, ID 83702-5427
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1673
ID
Other
Enumeration date
09/18/2018
Last updated
09/14/2023
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