Jacob R Foster, PA-C

NPI #1558713131 in Pocatello, Idaho

Provider Information

NPI Number: 1558713131
Entity Type: Individual
Name: Jacob R Foster, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 7, 2016
Last Updated: Aug 6, 2021

Practice Location

Address: 110 VISTA DR
City: Pocatello
State: Idaho
ZIP Code: 83201-5824
Phone: (208) 234-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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