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Dpmcallnrid Llc
Primary Podiatric Medicine Podiatrist in Idaho Falls, Idaho
NPI 1588993018

Dpmcallnrid Llc is a Primary Podiatric Medicine Podiatrist based in Idaho Falls, ID and is specialized in Primary Podiatric Medicine. Dpmcallnrid Llc practices in Idaho Falls, ID. The NPI Number for Dpmcallnrid Llc is 1588993018 and holds a License No. P-85 (Idaho).

The current practice location address for Dpmcallnrid Llc is 718 Beulahs Ln, Idaho Falls, ID and can be reached out via phone at 208-390-9631.

Location: 718 Beulahs Ln, Idaho Falls, ID, 83401-2340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588993018
Provider Name
Dpmcallnrid Llc
Credential
Provider Entity Type
Organization
Address
718 Beulahs Ln, Idaho Falls, ID, 83401-2340
Phone Number
208-390-9631
Fax Number
Provider Enumeration Date
12/11/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
718 Beulahs Ln
City
Idaho Falls
State
Idaho
Zip
83401-2340
Phone Number
208-390-9631
Fax Number
person
Provider Business Mailing Address Details
Address
718 Beulahs Ln
City
Idaho Falls
State
Idaho
Zip
83401-2340
Phone Number
208-390-9631
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
213EP1101X
License No.
P-85 (Idaho)
Definition
Definition to come...
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