ADVANCED FOOT & ANKLE OF MAGIC VALLEY PLLC NPI 1326496910

NPI Information

ADVANCED FOOT & ANKLE OF MAGIC VALLEY, PLLC is a podiatrist in Twin 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. ADVANCED FOOT & ANKLE OF MAGIC VALLEY, PLLC NPI is 1326496910. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Foot & Ankle.

The provider's business location address is:

176 FALLS AVE STE 200
TWIN FALLS, ID
ZIP 83301-306
Phone: (208) 731-6321
Fax: (208) 944-0430

The provider's authorized official is Daniel Matthew Wettstein .
The authorized official title is Owner and has the following contact phone number (208) 731-6321.

The enumeration date for this NPI number is 5/25/2016 and was last updated on 5/25/2016.

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

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