| Dpmcallnrid Llc | |
|
718 Beulahs Ln, Idaho Falls, ID 83401-2340 | |
| (208) 390-9631 | |
| Not Available |
| Full Name | Dpmcallnrid Llc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Primary Podiatric Medicine |
| Location | 718 Beulahs Ln, Idaho Falls, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588993018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | P-85 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dpmcallnrid Llc 718 Beulahs Ln, Idaho Falls, ID 83401-2340 Ph: (208) 390-9631 | Dpmcallnrid Llc 718 Beulahs Ln, Idaho Falls, ID 83401-2340 Ph: (208) 390-9631 |
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