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Individual

STEPHEN G FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3900 JUNIUS ST STE 705, DALLAS, TX 75246-1627
(770) 732-5500
Mailing address
7947 GLADE HILL CT, DALLAS, TX 75218-4510
(404) 886-8705
(770) 874-5469

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
6685
GA
363AS0400X
Surgical Physician Assistant
Primary
PA08811
TX

Other

Enumeration date
12/07/2012
Last updated
03/31/2022
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