NPI 1083261697

Treasure Valley Foot and Ankle

Organisation Foot & Ankle Surgery Podiatrist Meridian, ID

Practice location

Address: 3120 W Belltower Dr STE 100, Meridian, ID 83646-7744
Phone: (208) 516-3617
Fax: (208) 314-2029
Mailing address: PO Box 268, Bountiful, UT 84011-0268

Authorised official

Name: Clark a Johnson
Title: President
Phone: (208) 546-9548

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X

Other Podiatrist providers in Idaho →

Registry record

NPI: 1083261697
Entity type: Organization
NPI issued: 20 Aug 2019
Record last updated: 16 Dec 2019

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.