Individual
FOSTER GOFF III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1855 SPRING HILL AVE, MOBILE, AL 36607-2301
(251) 471-3544
(251) 476-7456
Mailing address
1855 SPRING HILL AVE, MOBILE, AL 36607-2301
(251) 471-3544
(251) 476-7456
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1812
AL
363AS0400X
Surgical Physician Assistant
Primary
1094
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA1094
LICENSE
AL
Enumeration date
09/21/2015
Last updated
11/06/2018
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