Mountain Crest Foot and Ankle PA

NPI #1932191996 in Idaho Falls, Idaho

Provider Information

NPI Number: 1932191996
Entity Type: Organization
Organization Name: Mountain Crest Foot and Ankle PA
Primary Specialty: Podiatrist
Enumeration Date: Aug 16, 2005
Last Updated: Dec 6, 2010

Practice Location

Address: 3652 WASHINGTON PKWY
City: Idaho Falls
State: Idaho
ZIP Code: 83404-7573
Phone: (208) 528-8700

Authorized Official

Name: DR. TIMOTHY ROGER BLACK, DPM
Title: OWNER/PHYSICIAN
Phone: (208) 528-8700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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Andrew L Mccall, D.P.M. P.A.	Podiatrist	Idaho Falls	AI Deep Dive
DR. Timothy Roger Black, DPM	Podiatrist	Idaho Falls	AI Deep Dive
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Provider Name	Specialty	City
Andrew L Mccall Dpm PA	Podiatrist	Idaho Falls	AI Deep Dive

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