Individual
FOSTER GOFF III
Active
Individual
FOSTER GOFF III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
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
Update your record
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