ADVANCED PODIATRY OF SOUTHERN IDAHO, LLC

TWIN FALLS, ID
NPI1952660763
Doing Business AsADVANCED FOOT & ANKLE
Entity TypeOrganization
Authorized ContactTAWNA H GOULDING
Administrator
801-475-5239
Organization Subpart ?No
Primary Taxonomy213ES0131X Podiatrist, Foot Surgery
(Licence: UT  8015238-0501)
Enumeration Date2012-05-14
Last Update Date2012-07-06
Business Address
ADVANCED PODIATRY OF SOUTHERN IDAHO, LLC
476 CHENEY DRIVE WEST
TWIN FALLS, ID 83301
Phone number: 208-731-6321
Mailing Address
ADVANCED PODIATRY OF SOUTHERN IDAHO, LLC
6028 S RIDGELINE DRIVE SUITE 101
OGDEN, UT 84405
Phone number: 801-475-5239