JACOB R FOSTER

POCATELLO, ID
NPI1558713131
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2016-07-07
Last Update Date2021-08-06
Business Address
JACOB R FOSTER PA-C
110 VISTA DR
POCATELLO, ID 83201-5824
Phone number: 208-234-2300
Mailing Address
JACOB R FOSTER PA-C
110 VISTA DR
POCATELLO, ID 83201-5824
Phone number: 208-234-2300