NPI 1437563699

Foot & Ankle Specialists of Idaho, P.C.

Organisation Foot & Ankle Surgery Podiatrist Idaho Falls, ID

Practice location

Address: 1277 E 17th St, Idaho Falls, ID 83404-6126
Phone: (267) 644-6880

Authorised official

Name: John D Peterson
Title: Doctor of Podiatric Medicine
Phone: (208) 346-7443

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence P-223 (ID)

Other Podiatrist providers in Idaho →

Registry record

NPI: 1437563699
Entity type: Organization
NPI issued: 16 Jun 2014
Record last updated: 17 Sep 2014

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.