| NPI | 1609085455 |
|---|---|
| Other Name | MAGIC VALLEY FOOT & ANKLE SPECIALIST |
| Entity Type | Organization |
| Authorized Contact | CRAIG D HOLMAN Owner 208-734-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: ID P119) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2018-06-21 |