NPI 1669516738

Valley Foot & Ankle, PC

Organisation Podiatrist Pocatello, ID

Practice location

Address: 1455 Bench Rd STE B, Pocatello, ID 83201-5084
Phone: (208) 232-0006
Fax: (208) 232-0006

Authorised official

Name: Brandon Dean Wilde
Title: Owner/Practioner
Phone: (208) 232-0006

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence P92 (ID)

Other Podiatrist providers in Idaho →

Registry record

NPI: 1669516738
Entity type: Organization
NPI issued: 20 Feb 2007
Record last updated: 17 Mar 2018

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.