Individual
CARLA SUE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1126 E 12300 S, DRAPER, UT 84020-9095
(801) 545-0600
(801) 542-0626
Mailing address
PO BOX 1000, DRAPER, UT 84020-1000
(801) 542-8222
(801) 542-8227
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
360883-1205
UT
Other
Enumeration date
05/31/2006
Last updated
12/13/2012
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