FOOT & ANKLE SPECIALISTS OF IDAHO, P.C.; NPI #1437563699

Contact Information

FOOT & ANKLE SPECIALISTS OF IDAHO, P.C.

1277 E 17TH ST
IDAHO FALLS, ID 83404-6126

Phone: 267-644-6880
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for FOOT & ANKLE SPECIALISTS OF IDAHO, P.C.

NPI Number 1437563699

LBN Legal business name FOOT & ANKLE SPECIALISTS OF IDAHO, P.C.

Authorized official JOHN PETERSON - (DOCTOR OF PODIATRIC MEDICINE)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/16/2014

Last updated 09/17/2014 - About 12 years ago

Identifiers

License #

P-223

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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FOOT & ANKLE SPECIALISTS OF IDAHO, P.C.

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for FOOT & ANKLE SPECIALISTS OF IDAHO, P.C.

Reviews for FOOT & ANKLE SPECIALISTS OF IDAHO, P.C.