NPI 1205011889

Palouse Foot & Ankle Clinic

Organisation Durable Medical Equipment & Medical Supplies Moscow, ID

Practice location

Address: 619 S Washington St 103, Moscow, ID 83843-3090
Phone: (208) 882-8939
Fax: (509) 334-0380
Mailing address: 825 SE Bishop Blvd 801, Pullman, WA 99163-5517

Authorised official

Name: Brad J Capawana
Title: Owner
Phone: (509) 334-4498

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X Licence 1298150002 (ID)

Other Durable Medical Equipment & Medical Supplies providers in Idaho →

Registry record

NPI: 1205011889
Entity type: Organization
NPI issued: 2 Jan 2008
Record last updated: 24 Jan 2008

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.