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P. ROMAN BURK DPM PC NPI 1598035917


NPI Information

NPI: 1598035917
Provider Name: P. ROMAN BURK DPM, PC

Doing Business As: FOOT & ANKLE MEDICAL CENTER

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
1818 S 10TH AVE
SUITE 250
CALDWELL, ID
ZIP 83605
Phone: (208) 459-0891
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P. ROMAN BURK DPM, PC is a non pharmacy dispensing site in Caldwell, ID. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) P. ROMAN BURK DPM, PC NPI is 1598035917. The provider is registered as an organization entity type.
The provider Is Doing Business As Foot & Ankle Medical Center.

The provider's business location address is:

1818 S 10TH AVE
SUITE 250
CALDWELL, ID
ZIP 83605-803
Phone: (208) 459-0891

The provider's authorized official is Philip Burk .
The authorized official title is Owner and has the following contact phone number (208) 459-0891.

The enumeration date for this NPI number is 1/2/2012 and was last updated on 4/26/2012.


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
1332900000XNon-Pharmacy Dispensing SiteYes

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: 5/5/2024

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