Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | A88267 | CA |
NPI | 1750364816 |
---|---|
Provider Name | Dr. Cameron Carl Foster |
First Address | Sacramento, CA 95831-1381 |
Second Address | Sacramento, CA 95817 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2005 |
Last Update Date | 09/06/2020 |