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Garrett Child
Foot & Ankle Surgery Podiatrist in Burley, Idaho
NPI 1952715609

Garrett Child is a Foot & Ankle Surgery Podiatrist based in Clinton, ID and is specialized in Foot & Ankle Surgery. Garrett Child practices in Burley, ID. The NPI Number for Garrett Child is 1952715609 and holds a License No. 2017023338 (Idaho).

The current practice location address for Garrett Child is 1501 Hiland Ave Ste C, Burley, ID and can be reached out via phone at 208-677-6080.

Location: 1501 Hiland Ave Ste C, Burley, ID, 64735-1192
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952715609
Provider Name
Garrett Child
Credential
Provider Entity Type
Individual
Gender
Male
Address
1501 Hiland Ave Ste C, Burley, ID, 64735-1192
Phone Number
208-677-6080
Fax Number
Provider Enumeration Date
06/19/2014
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
1501 Hiland Ave Ste C
City
Burley
State
Idaho
Zip
83318-2682
Phone Number
208-677-6080
Fax Number
person
Provider Business Mailing Address Details
Address
1501 Hiland Ave Ste C
City
Burley
State
Idaho
Zip
83318-2682
Phone Number
208-677-6080
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2017023338 (Missouri)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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