Shoshone Bannock Tribes
Shoshone Bannock Tribes is a Podiatrist in Fort Hall, Idaho. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
717 Mission RdFort Hall, ID 83203
Phone: (208) 238-5421
Fax: (208) 238-5462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Podiatrist (primary) | Taxonomy 213E00000X |
|---|
Record details
| NPI number | 1952518946 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Angela Mendez — Tribal Health Director · (208) 478-3994 |
| Other names | Shoshone Bannock Clinic Podiatry Group |
| NPI enumerated | May 17, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Po Box 306, Pima Drive, Fort Hall, ID 83203-0306 |