Provider Demographics
NPI:1689166076
Name:FOSTER, CRAIG LEONARD (DPM)
Entity type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:LEONARD
Last Name:FOSTER
Suffix:
Gender:
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1831 E QUEEN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-2019
Mailing Address - Country:US
Mailing Address - Phone:480-216-4395
Mailing Address - Fax:
Practice Address - Street 1:3570 S VAL VISTA DR STE 104
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85297-7327
Practice Address - Country:US
Practice Address - Phone:480-900-9343
Practice Address - Fax:480-400-9229
Is Sole Proprietor?:No
Enumeration Date:2018-06-01
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZPOD001009213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery