Boise Podiatry Clinic, P. A. in Boise - Primary Podiatric Medicine

Boise Podiatry Clinic, P. A. - NPI 1982711578

Boise Podiatry Clinic, P. A. is a Primary Podiatric Medicine in Boise, Idaho. Boise Podiatry Clinic, P. A. practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Boise Podiatry Clinic, P. A. is 1982711578. The last update date is 2007-12-11.

Boise Podiatry Clinic, P. A.'s current location address is 6051 N Eagle Rd, Boise, Idaho. You can contact this provider via phone number 2089384670 and fax number 2089384675. The mailing address for Boise Podiatry Clinic, P. A. is 6051 N Eagle Rd, Boise, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Boise Podiatry Clinic, P. A.
Address 6051 N Eagle Rd, Boise, Idaho
Phone Number 2089384670
Fax Number 2089384675
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Millward J Gary
Credentials DPM
Telephone Number 2089384670

NPI Number Detail

NPI Number 1982711578
Provider Enumeration Date 2006-08-23
Last Updated Date 2007-12-11

Provider Mailing Address Detail

Address 6051 N Eagle Rd
City Boise
State Idaho (ID)
Post Code 83713
Phone Number 2089384670
Fax Number 2089384675

Provider's Primary Taxonomy Detail

Speciality Primary Podiatric Medicine
Taxonomy 213Ep1101X
Definition:
A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities.

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FAQs about Boise Podiatry Clinic, P. A.

What is the unique 10-digit identification code issued to Boise Podiatry Clinic, P. A. by the Centers for Medicare & Medicaid Services?

The Boise Podiatry Clinic, P. A. has been assigned the NPI (National Provider Identifier) 1982711578 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Boise Podiatry Clinic, P. A.'s facilities are geographically located?

The facilities of Boise Podiatry Clinic, P. A. are physically situated at the following location: 6051 N Eagle Rd, Boise, ID, 83713.

What is the Boise Podiatry Clinic, P. A.'s specialty and taxonomy code?

The Boise Podiatry Clinic, P. A.'s specialty is Primary Podiatric Medicine, and the corresponding taxonomy code is 213Ep1101X.

On what date did the Boise Podiatry Clinic, P. A. receive the assignment of its 1982711578 from the Centers for Medicare & Medicaid Services?

The Boise Podiatry Clinic, P. A. was issued its 1982711578 by the Centers for Medicare & Medicaid Services on 2006-08-23.

As of what date was the information regarding Boise Podiatry Clinic, P. A., such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Boise Podiatry Clinic, P. A., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-12-11.

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