A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform...
ID license #P119taxonomy 213E00000X
Identifiers
Type
Value
Notes
01 (ID)
185440600
US DEPT OF LABOR
01 (ID)
4134570001
DMERC
01 (ID)
480031477
RAILROAD MEDICARE
01 (ID)
000010152611
REGENCE BLUE SHIELD OF ID
01 (ID)
P9343
BLUE CROSS OF IDAHO
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Magic Valley Foot & Ankle Specialist
Type code 5recorded 2007-05-21
Practice context
Single-site organization. Only one practice location on file.
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