NPI 1649563347

P. Roman Burk DPM PC

Organisation Foot & Ankle Surgery Podiatrist Meridian, ID

Practice location

Address: 2667 E Gala CT STE 130, Meridian, ID 83642-2788
Phone: (208) 795-5090
Mailing address: 1818 S 10th Ave #250, Caldwell, ID 83605-4803

Authorised official

Name: P Roman Burk
Title: Owner
Phone: (208) 855-5955

Registered specialties (2)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence P197 (ID)

Other Podiatrist providers in Idaho →

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence P197 (ID)

Registry record

NPI: 1649563347
Entity type: Organization
NPI issued: 27 May 2011
Record last updated: 13 Sep 2022

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.