Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STATE OF IDAHO
Active OrganizationSTATE OF IDAHO is a Podiatrist organization located in NAMPA, Idaho. NPI 1588780449 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · NAMPA, ID
Registration Details
- NPI Number
- 1588780449
- Provider Type
- Organization
- NPI Issued
- Mar 22, 2007 (19.427982100323 yrs)
- Last Updated
- Aug 22, 2020
Practice Information
- Address
-
1660 11TH AVE NNAMPA, ID, 836875000Browse ID providers · Browse ZIP 83687
- Phone
- 2084422812
- Fax
- 2084675978
- Primary Specialty
-
Podiatrist
213E00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.