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P. ROMAN BURK DPM PC NPI 1649563347


NPI Information

NPI: 1649563347
Provider Name: P. ROMAN BURK DPM PC

Doing Business As: ROCKY MOUNTAINT FOOT & ANKLE

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2667 E GALA CT STE 130
MERIDIAN, ID
ZIP 83642
Phone: (208) 795-5090
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P. ROMAN BURK DPM PC is a foot and ankle surgery podiatrist in Meridian, ID. P. ROMAN BURK DPM PC NPI is 1649563347. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Rocky Mountaint Foot & Ankle.

The provider's business location address is:

2667 E GALA CT STE 130
MERIDIAN, ID
ZIP 83642-788
Phone: (208) 795-5090

The provider's authorized official is P Roman Burk .
The authorized official title is Owner and has the following contact phone number (208) 855-5955.

The enumeration date for this NPI number is 5/27/2011 and was last updated on 9/13/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristP197IDAHONo
2213ES0103XPodiatristFoot & Ankle SurgeryP197IDAHOYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1808001900MEDICAIDIDAHO
2000000000154263OTHERIDAHOREGENCE
3P9383OTHERIDAHOBLUE CROSS

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: 4/28/2024

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