| NPI | 1780713552 |
|---|---|
| Doing Business As | PODIATRY SERVICES OF IDAHO |
| Entity Type | Organization |
| Authorized Contact | CAMILLE ELIZABETH HARRIS CEO 208-463-7732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: OR DP00359) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |