NPI Profile for SHAYLA D FOSTER in MERIDIAN, ID.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Sports Medicine |
2083S0010X | 84 | Physician/Preventive Medicine |
| NPI # | 1497386841 |
|
| Status | Active | |
| Credentials | MS, LAT, ATC | |
| Entity | Individual | |
| Enumeration date | 02/03/2020 | |
| Last updated | 02/03/2020 - About 6 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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SHAYLA D FOSTER
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