STATE OF IDAHO is a podiatrist in Nampa, ID. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. STATE OF IDAHO NPI is 1588780449. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dhw Issh Group Physicians.
The provider's business location address is:
1660 11TH AVE N
NAMPA, ID
ZIP 83687-000
Phone: (208) 442-2812
Fax: (208) 467-5978
The provider's authorized official is Sue Broetje .
The authorized official title is Administrative Director and has the following contact phone number (208) 442-2812.
The enumeration date for this NPI number is 3/22/2007 and was last updated on 8/22/2020.