NPI 1063769297

Snake River Podiatry PLLC

Organisation Primary Podiatric Medicine Podiatrist Pocatello, ID

Practice location

Address: 3690 Ridgewood Rd, Pocatello, ID 83201-7704
Phone: (208) 339-4355

Authorised official

Name: Don Gilbert
Title: Owner
Phone: (208) 339-4355

Registered specialties

Primary Podiatric Medicine Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X Licence P-64 (ID)

Other Podiatrist providers in Idaho →

Registry record

NPI: 1063769297
Entity type: Organization
NPI issued: 7 Aug 2012
Record last updated: 7 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.