Advanced Foot & Ankle of Magic Valley, Pllc

NPI #1326496910 in Twin Falls, Idaho

Provider Information

NPI Number: 1326496910
Entity Type: Organization
Organization Name: Advanced Foot & Ankle of Magic Valley, Pllc
Primary Specialty: Podiatrist
Enumeration Date: May 25, 2016
Last Updated: May 25, 2016

Practice Location

Address: 176 FALLS AVE STE 200
City: Twin Falls
State: Idaho
ZIP Code: 83301-2306
Phone: (208) 731-6321

Authorized Official

Name: DR. DANIEL MATTHEW WETTSTEIN, D.P.M
Title: OWNER
Phone: (208) 731-6321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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