NPI 1497386841

Shayla Diane Foster, MSLATATC

Practitioner Sports Medicine (Preventive Medicine) Physician Meridian, ID

Practice location

Address: 2000 S Millenium Way, Meridian, ID 83642-1551
Phone: (303) 319-3004
Mailing address: 7529 W Middle Fork St, Boise, ID 83709-6090

Registered specialties

Sports Medicine (Preventive Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083S0010X Licence AT-588 (ID)

Other Preventive Medicine providers in Idaho →

Registry record

NPI: 1497386841
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Feb 2020
Record last updated: 3 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.