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Idaho Foot Center Pc
Foot & Ankle Surgery Podiatrist in Idaho Falls, Idaho
NPI 1639419112

Idaho Foot Center Pc is a Foot & Ankle Surgery Podiatrist based in Idaho Falls, ID and is specialized in Foot & Ankle Surgery. Idaho Foot Center Pc practices in Idaho Falls, ID. The NPI Number for Idaho Foot Center Pc is 1639419112 and holds a License No. P93 (Idaho).

The current practice location address for Idaho Foot Center Pc is 1540 Elk Creek Dr, Idaho Falls, ID and can be reached out via phone at 208-529-8393 and via fax at 208-529-8398.

Location: 1540 Elk Creek Dr, Idaho Falls, ID, 83404-8322
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Provider Profile Details
NPI Number
1639419112
Provider Name
Idaho Foot Center Pc
Credential
Provider Entity Type
Organization
Address
1540 Elk Creek Dr, Idaho Falls, ID, 83404-8322
Phone Number
208-529-8393
Fax Number
208-529-8398
Provider Enumeration Date
02/21/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0025121 05 ID
institution
Provider Business Practice Location Address Details
Address
1540 Elk Creek Dr
City
State
Zip
83404-8322
Phone Number
208-529-8393
Fax Number
208-529-8398
person
Provider Business Mailing Address Details
Address
1540 Elk Creek Dr
City
State
Zip
83404-8322
Phone Number
208-529-8393
Fax Number
208-529-8398
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
P93 (Idaho)
Definition
Definition to come...
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