Individual
ROBERT MICHAEL FOOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1421 E PEACE ST, CANTON, MS 39046-4938
(601) 855-5369
Mailing address
1421 E PEACE ST, CANTON, MS 39046-4938
(601) 855-0567
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
7005
MS
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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