Dr STEPHANIE M FOSBACK is a female medical professional, specializing in Internal Medicine. She graduated in 2006 from University Of Washington School Of Medicine.
PALOUSE MEDICAL PS
825 SE BISHOP BLVD
SUITE 200
PULLMAN
WA
991635512
Tel: 5093322517
| Npi | 1760591622 |
| Pac Id | 5698828846 |
| Professional Enrollment Id | I20090805000402 |
| Last Name | FOSBACK |
| First Name | STEPHANIE |
| Middle Name | M |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| All Secondary Specialties | |
| Organization Legal Name | PALOUSE MEDICAL PS |
| Group Practice Pac Id | 7618863358 |
| Number Of Group Practice Members | 14 |
| Line 1 Street Address | 825 SE BISHOP BLVD |
| Line 2 Street Address | SUITE 200 |
| Marker Of Address Line 2 Suppression | |
| City | PULLMAN |
| State | WA |
| Zip Code | 991635512 |
| Phone Number | 5093322517 |
| Hospital Affiliation Ccn 1 | 501331 |
| Hospital Affiliation Lbn 1 | PULLMAN REGIONAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 131327 |
| Hospital Affiliation Lbn 2 | GRITMAN MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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