MR. Randall Dwight Foster, OPA-C, ATC, LAT
NPI #1811927403 in Stephenville, Texas
Provider Information
- NPI Number
- 1811927403
- Entity Type
- Individual
- Name
- MR. Randall Dwight Foster, OPA-C, ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- OPA-C, ATC, LAT
- Enumeration Date
- Jul 3, 2006
- Last Updated
- Jan 16, 2009
Practice Location
- Address
- 561 N GRAHAM ST
- City
- Stephenville
- State
- Texas
- ZIP Code
- 76401-3548
- Phone
- (254) 965-2663
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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