Eastern Idaho Foot Clinic
Eastern Idaho Foot Clinic is a Durable Medical Equipment & Medical Supplies in Idaho Falls, Idaho. Licensed in Idaho. Registered with an NPI since 2009.
- Licensed in
- ID
- In the registry since
- 2009
Practice location Address checks out
2565 Channing WayIdaho Falls, ID 83404-7516
Phone: (208) 523-2928
Fax: (208) 523-2962
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X · Licence P126 (ID) |
|---|
Record details
| NPI number | 1225365992 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jerry Cooper — Owner · (208) 523-2928 |
| NPI enumerated | November 17, 2009 |
| Last updated in NPPES | November 17, 2009 |
| Mailing address | 2565 Channing Way, Idaho Falls, ID 83404-7516 |
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