Female

Shannon K. Foster M.D.

Dermatology Physician in Missoula, MT(View on Map)

Full Name

Shannon Kaye Foster M.D.

NPI Number

1356549406

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/10/2007

Specialties

(Taxonomies)

Code

207N00000X

Primary Taxonomy

Yes

Licenses

State

Montana

License Number

12383

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 7609
2835 FORT MISSOULA RD BLDG 3

City

Missoula
Missoula

State

MT
MT

Postal Code

59807-7609
59804-7423

Country

US
US

Telephone Number

(406) 721-5600
(406) 721-5600

Identifiers

Identifier

0000910890

Identifier State

MT

Identifier Issuer

BCBSMT

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

sfoster207230@wm.providencedirect.org

Endpoint Description

Unknown

Use

Direct

Content Type

Unknown

Affiliation

N

Endpoint Location

2835 Fort Missoula Rd Bldg 3Missoula, MT598047423US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/21/2021

Provider Address

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