| NPI | 1205021714 |
|---|---|
| Doing Business As | IDAHO FOOT SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | BRUCE G TOLMAN Owner 208-529-8393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2007-09-07 |