Idaho Foot Center Pc Valid NPI
Organization · Foot & Ankle Surgery Podiatrist · Idaho Falls, ID
- NPI
- 1639419112
- Type
- Organization (Type 2)
- Primary specialty
- Foot & Ankle Surgery Podiatrist (Podiatrist)
- Specialty group
- Podiatric Medicine & Surgery Service Providers
- Taxonomy code
- 213ES0103X
- License number
- P93 (ID)
- Enumerated
- 2013-02-21
- Last updated
- 2013-02-21
Practice location
1540 Elk Creek Dr
Idaho Falls, ID 83404-8322
(208) 529-8393