IDAHO FOOT CENTER PC; NPI #1639419112

Contact Information

IDAHO FOOT CENTER PC

1540 ELK CREEK DR
IDAHO FALLS, ID 83404-8322

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

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NPI Profile & details for IDAHO FOOT CENTER PC

NPI Number 1639419112

LBN Legal business name IDAHO FOOT CENTER PC

Authorized official BUCE TOLMAN - (PHYSICIAN/ PROVIDER)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/21/2013

Last updated 02/21/2013 - About 13 years ago

Identifiers

ID	License #	P93
ID	Medicaid	0025121

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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IDAHO FOOT CENTER PC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for IDAHO FOOT CENTER PC

Reviews for IDAHO FOOT CENTER PC