Palouse Foot & Ankle Clinic

NPI #1205011889 in Moscow, Idaho

Provider Information

NPI Number
1205011889
Entity Type
Organization
Organization Name
Palouse Foot & Ankle Clinic
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jan 2, 2008
Last Updated
Jan 24, 2008

Practice Location

Address
619 S WASHINGTON ST
Address 2
103
City
Moscow
State
Idaho
ZIP Code
83843-3090
Phone
(208) 882-8939

Authorized Official

Name
BRAD J CAPAWANA, DPM
Title
OWNER
Phone
(509) 334-4498

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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