Foster, Mark James
Foster, Mark James is an individual health care provider with primary practice located at 1942 E Main St , Cortez CO 81321-3039. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Foster, Mark James can be contacted via phone (970) 516-5500.Contact Information
Primary practice address
1942 E Main St
Cortez CO 81321-3039
Phone: (970) 516-5500
Fax: (970) 516-2500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1467 |
Profile Details
| NPI number | 1639168479 |
|---|---|
| LBN Legal business name | Foster, Mark James |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Jun 26th, 2026 - about 4 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639168479 | NPPES |
| Arizona | MEDICAID | 750077 | |
| Arizona | MEDICAID | 48529222 | |
| Arizona | MEDICAID | 43856560 |
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