MOUNTAIN CREST FOOT AND ANKLE PA is a podiatrist in Idaho Falls, 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. MOUNTAIN CREST FOOT AND ANKLE PA NPI is 1932191996. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
3652 WASHINGTON PKWY
IDAHO FALLS, ID
ZIP 83404-573
Phone: (208) 528-8700
Fax: (208) 528-2802
The provider's authorized official is Timothy Roger Black .
The authorized official title is Owner/physician and has the following contact phone number (208) 528-8700.
The enumeration date for this NPI number is 8/16/2005 and was last updated on 12/6/2010.