Ambulatory Foot And Ankle Clinic | |
1555 E Clark St, Pocatello, ID 83201-4133 | |
(208) 233-4355 | |
(208) 233-7198 |
Full Name | Ambulatory Foot And Ankle Clinic |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 1555 E Clark St, Pocatello, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912194085 | NPI | - | NPPES |
004400900 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | P-82 (Idaho) | Primary |
Provider Name | Kert W Howard |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1245216647 PECOS PAC ID: 5294786257 Enrollment ID: I20050207000825 |
Provider Name | Karson K Howard |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1992093561 PECOS PAC ID: 2264601145 Enrollment ID: I20110810000302 |
Provider Name | Adam C Matthews |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1134411408 PECOS PAC ID: 0446400261 Enrollment ID: I20121031000689 |
Mailing Address | Practice Location Address |
---|---|
Ambulatory Foot And Ankle Clinic 1555 E Clark St, Pocatello, ID 83201-4133 Ph: (208) 233-4355 | Ambulatory Foot And Ankle Clinic 1555 E Clark St, Pocatello, ID 83201-4133 Ph: (208) 233-4355 |
Snake River Podiatry Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 3690 Ridgewood Rd, Pocatello, ID 83201 Phone: 208-339-4355 | |
Dr. Adam Matthews, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1555 E Clark St, Pocatello, ID 83201 Phone: 224-688-0624 | |
Kert W Howard, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1555 E Clark St, Pocatello, ID 83201 Phone: 208-233-4355 Fax: 208-233-7198 | |
Steven Jeff Bray, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2240 E Center St, Pocatello, ID 83201 Phone: 208-233-2100 Fax: 208-233-3146 | |
Dr. Brandon D Wilde, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1455 Bench Rd Ste B, Pocatello, ID 83201 Phone: 208-232-0006 Fax: 208-233-8771 | |
Brent Christensen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1777 E Clark St, Suite 220, Pocatello, ID 83201 Phone: 208-235-1777 Fax: 208-232-7518 | |
Mr. David K Croshaw, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1155 Pocatello Creek Rd, Pocatello, ID 83201 Phone: 208-232-0006 Fax: 208-233-8771 |