VALLEY FOOT & ANKLE PC NPI 1790864619

NPI Information

VALLEY FOOT & ANKLE, PC is a podiatrist in Pocatello, 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. VALLEY FOOT & ANKLE, PC NPI is 1790864619. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1455 BENCH RD
SUITE B
POCATELLO, ID
ZIP 83201
Phone: (208) 232-0006
Fax: (208) 233-8771

The provider's authorized official is Brandon Dean Wilde .
The authorized official title is Practitioner/owner and has the following contact phone number (208) 232-0006.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 11/21/2017.

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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