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

State of Idaho

Organization Podiatrist · NPI 1588780449

State of Idaho is a Podiatrist in Nampa, Idaho. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1660 11th Ave N
Nampa, ID 83687-5000
Phone: (208) 442-2812
Fax: (208) 467-5978
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X

Record details

NPI number1588780449
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sue Broetje — Administrative Director · (208) 442-2812
Other names Dhw Issh Group Physicians
NPI enumeratedMarch 22, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1660 11th Ave N, Nampa, ID 83687-5000

Other providers in Nampa