| NPI | 1295890648 |
|---|---|
| Doing Business As | SOUTH IDAHO FOOT AND ANKLE CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVID A BLACKMER Owner 208-733-3881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2011-03-28 |