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1790864619
VALLEY FOOT & ANKLE, PC
POCATELLO, ID
NPI
1790864619
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Entity Type
Organization
Authorized Contact
BRANDON DEAN WILDE
Practitioner/Owner
208-232-0006
Organization Subpart ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: ID p92)
Enumeration Date
2006-11-02
Last Update Date
2017-11-21
Business Address
VALLEY FOOT & ANKLE, PC
1455 BENCH RD SUITE B
POCATELLO, ID 83201
Phone number: 208-232-0006
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Mailing Address
VALLEY FOOT & ANKLE, PC
1455 BENCH RD STE B
POCATELLO, ID 83201-5084
Phone number: 208-232-0006
Copy
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