IDAHO FOOT CENTER PC NPI 1639419112

NPI Information

IDAHO FOOT CENTER PC is a foot and ankle surgery podiatrist in Idaho Falls, ID. IDAHO FOOT CENTER PC NPI is 1639419112. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1540 ELK CREEK DR
IDAHO FALLS, ID
ZIP 83404-322
Phone: (208) 529-8393
Fax: (208) 529-8398

The provider's authorized official is Buce G Tolman .
The authorized official title is Physician/ Provider and has the following contact phone number (208) 529-8393.

The enumeration date for this NPI number is 2/21/2013 and was last updated on 2/21/2013.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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