Kovac Foot Surgery Center Pllc
NPI #1922442805 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1922442805
- Entity Type
- Organization
- Organization Name
- Kovac Foot Surgery Center Pllc
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Apr 23, 2013
- Last Updated
- May 16, 2013
Practice Location
- Address
- 1540 ELK CREEK DR
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-8322
- Phone
- (208) 529-8393
Authorized Official
- Name
- KYLIN KOVAC, DPM
- Title
- OWNER
- Phone
- (208) 529-8393
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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