Stephanie Marie Fosback MD

NPI 1760591622 - Internal Medicine - 207R00000X

NPI Details
NPI 1760591622
Gender Female
Enumeration Date 08/30/2006
Last Updated 01/13/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
825 SE BISHOP BLVD
SUITE 200
PULLMAN WA, 99163-5517, US
Phone (509) 332-2517
Fax (509) 334-9247
Business Location
825 SE BISHOP BLVD
SUITE 200
PULLMAN WA, 99163-5517, US
Phone (509) 332-2517
Fax (509) 334-9247
Toxanomy
Taxonomy Code 207R00000X
License State Washington
License Number ML20008562
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According to our database, Stephanie Marie Fosback MD NPI is 1760591622, taxonomy code is 207R00000X and license number is ML20008562, license state is located at Washington. Stephanie Marie Fosback MD physically located at 825 Se Bishop Blvd, Pullman WA, 99163-5517. NPI Number Stephanie Marie Fosback MD has the Individual type.

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1760591622 NPI number is provided on an as is basis without warranty of any kind. 1760591622 is maintained by the National Plan & Provider Enumeration System. The contents of Stephanie Marie Fosback MD are for informational purposes only.