SHOSHONE BANNOCK TRIBES is a podiatrist in Fort Hall, 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. SHOSHONE BANNOCK TRIBES NPI is 1952518946. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Shoshone Bannock Clinic Podiatry Group.
The provider's business location address is:
717 MISSION ROAD
FORT HALL, ID
ZIP 83203
Phone: (208) 238-5421
Fax: (208) 238-5462
The provider's authorized official is Angela Mendez .
The authorized official title is Tribal Health Director and has the following contact phone number (208) 478-3994.
The enumeration date for this NPI number is 5/17/2007 and was last updated on 8/22/2020.