Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Snake River Podiatry PLLC

Organization Primary Podiatric Medicine Podiatrist · NPI 1063769297

Snake River Podiatry PLLC is a Primary Podiatric Medicine Podiatrist in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2012.

Licensed in
ID
In the registry since
2012
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3690 Ridgewood Rd
Pocatello, ID 83201-7704
Phone: (208) 339-4355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Podiatric Medicine Podiatrist (primary) Taxonomy 213EP1101X · Licence P-64 (ID)

Record details

NPI number1063769297
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Don Gilbert — Owner · (208) 339-4355
NPI enumeratedAugust 7, 2012
Last updated in NPPESAugust 7, 2012
Mailing address3690 Ridgewood Rd, Pocatello, ID 83201-7704

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