| NPI | 1023451598 |
|---|---|
| Doing Business As | IDAHO FOOT AND ANKLE CENTER |
| Entity Type | Organization |
| Authorized Contact | KYLIN KOVAC Owner 208-529-8393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2013-04-15 |