institution
Pocatello Podiatry Associates Pa
Foot & Ankle Surgery Podiatrist in Pocatello, Idaho
NPI 1912194085

Pocatello Podiatry Associates Pa is a Foot & Ankle Surgery Podiatrist based in Pocatello, ID and is specialized in Foot & Ankle Surgery. Pocatello Podiatry Associates Pa practices in Pocatello, ID. The NPI Number for Pocatello Podiatry Associates Pa is 1912194085 and holds a License No. P-82 (Idaho).

The current practice location address for Pocatello Podiatry Associates Pa is 1555 E Clark St, Pocatello, ID and can be reached out via phone at 208-233-4355 and via fax at 208-233-7198.

Location: 1555 E Clark St, Pocatello, ID, 83201-4133
institution
Provider Profile Details
NPI Number
1912194085
Provider Name
Pocatello Podiatry Associates Pa
Credential
Provider Entity Type
Organization
Address
1555 E Clark St, Pocatello, ID, 83201-4133
Phone Number
208-233-4355
Fax Number
208-233-7198
Provider Enumeration Date
10/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004400900 05 ID
institution
Provider Business Practice Location Address Details
Address
1555 E Clark St
City
State
Zip
83201-4133
Phone Number
208-233-4355
Fax Number
208-233-7198
person
Provider Business Mailing Address Details
Address
1555 E Clark St
City
State
Zip
83201-4133
Phone Number
208-233-4355
Fax Number
208-233-7198
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
P-82 (Idaho)
Definition
Definition to come...
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