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Contact Information

IDAHO FOOT CENTER
1540 ELK CREEK DR
IDAHO FALLS, ID83404-8322
 Phone: 208-529-8393
 Fax: 208-529-8398
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for IDAHO FOOT CENTER

NPI # 1306024120
LBN Legal business name IDAHO FOOT CENTER
Authorized official BRUCE TOLMAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/04/2008
Last updated 03/06/2008 - About 18 years ago
Identifiers
ID License # P93
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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