TREASURE VALLEY FOOT AND ANKLE NPI 1083261697

NPI Information

NPI: 1083261697
Provider Name: TREASURE VALLEY FOOT AND ANKLE
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
3120 W BELLTOWER DR STE 100
MERIDIAN, ID
ZIP 83646
Phone: (208) 516-3617
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TREASURE VALLEY FOOT AND ANKLE is a foot and ankle surgery podiatrist in Meridian, ID. TREASURE VALLEY FOOT AND ANKLE NPI is 1083261697. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3120 W BELLTOWER DR STE 100
MERIDIAN, ID
ZIP 83646-744
Phone: (208) 516-3617
Fax: (208) 314-2029

The provider's authorized official is Clark A Johnson .
The authorized official title is President and has the following contact phone number (208) 546-9548.

The enumeration date for this NPI number is 8/20/2019 and was last updated on 12/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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