SearchIdaho363A00000X

Jacob Foster, PA-C

NPI 1558713131 · on the registry since 2016

Practice

Address
110 Vista Dr
Pocatello, ID 83201
Phone
(208) 234-2300
Fax
(208) 234-0026
Organisation at this address
Mvh Endoscopy Llc
Pcs Endoscopy Suite
Mvh Pc Specialists Llc
Pcs Procedure Suite Llc
Primary Care Specialists, Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-08-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho