NPI 1306064258

P. Roman Burk, DPM

Practitioner Foot & Ankle Surgery Podiatrist Caldwell, ID

Practice location

Address: 1818 S 10th Ave Suite 250, Caldwell, ID 83605-4803
Phone: (208) 459-0891
Fax: (208) 459-8628

Registered specialties (2)

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence P-197 (ID)

Other Podiatrist providers in Idaho →

Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence 41000197 (IN)

Registry record

NPI: 1306064258
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Apr 2007
Record last updated: 13 Dec 2013

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.