Bruce G. Tolman, Dmp

NPI #1205021714 in Idaho Falls, Idaho

Provider Information

NPI Number: 1205021714
Entity Type: Organization
Organization Name: Bruce G. Tolman, Dmp
Primary Specialty: Clinic/Center - Podiatric
Enumeration Date: Sep 7, 2007
Last Updated: Sep 7, 2007

Practice Location

Address: 1540 ELK CREEK DR
City: Idaho Falls
State: Idaho
ZIP Code: 83404-8322
Phone: (208) 529-8393

Authorized Official

Name: DR. BRUCE G TOLMAN, DMP
Title: OWNER
Phone: (208) 529-8393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Podiatric — Podiatric	261QP1100X	Primary

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