NPI 1588780449

State of Idaho

Organisation Podiatrist Nampa, ID

Practice location

Address: 1660 11th Ave N, Nampa, ID 83687-5000
Phone: (208) 442-2812
Fax: (208) 467-5978

Authorised official

Name: Sue Broetje
Title: Administrative Director
Phone: (208) 442-2812

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X

Other Podiatrist providers in Idaho →

Registry record

NPI: 1588780449
Entity type: Organization
NPI issued: 22 Mar 2007
Record last updated: 22 Aug 2020

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.