Advanced Podiatry of Southern Idaho, LLC
NPI #1952660763 in Twin Falls, Idaho
Provider Information
- NPI Number
- 1952660763
- Entity Type
- Organization
- Organization Name
- Advanced Podiatry of Southern Idaho, LLC
- Primary Specialty
- Podiatrist - Foot Surgery
- Enumeration Date
- May 14, 2012
- Last Updated
- Jul 6, 2012
Practice Location
- Address
- 476 CHENEY DRIVE WEST
- City
- Twin Falls
- State
- Idaho
- ZIP Code
- 83301
- Phone
- (208) 731-6321
Authorized Official
- Name
- TAWNA H GOULDING
- Title
- ADMINISTRATOR
- Phone
- (801) 475-5239
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist - Foot Surgery — Foot Surgery |
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