ADVANCED PODIATRY OF SOUTHERN IDAHO LLC NPI 1952660763

NPI Information

ADVANCED PODIATRY OF SOUTHERN IDAHO, LLC is a foot surgery podiatrist in Twin Falls, ID. ADVANCED PODIATRY OF SOUTHERN IDAHO, LLC NPI is 1952660763. 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:

476 CHENEY DRIVE WEST
TWIN FALLS, ID
ZIP 83301
Phone: (208) 731-6321
Fax: (801) 475-5286

The provider's authorized official is Tawna H Goulding .
The authorized official title is Administrator and has the following contact phone number (801) 475-5239.

The enumeration date for this NPI number is 5/14/2012 and was last updated on 7/6/2012.

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:

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