Provider Demographics
NPI:1073573028
Name:FOSTER, DAWN M
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:M
Last Name:FOSTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BHC DEIGO GARCIA
Mailing Address - Street 2:PSC 466 BOX 3
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96595-0003
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:BHC DIEGO GARCIA
Practice Address - Street 2:PDC 466 BOX 3
Practice Address - City:FPO
Practice Address - State:AP
Practice Address - Zip Code:96595-0003
Practice Address - Country:US
Practice Address - Phone:011-220-4211
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman