# FOOT & ANKLE MEDICAL CENTER OF NAMPA, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033235783
- **Authorized official:** DR. PHILLIP NEIL BURK D.P.M. (PRESIDENT)
- **Authorized official phone:** (208) 466-3338

## Contact information

- **Practice address:** 203 12TH AVE RD, SUITE A, NAMPA, ID 83686-5012
- **Practice address phone:** (208) 466-3338
- **Practice address fax:** (208) 466-3554
- **Mailing address:** 203 12TH AVE RD, SUITE A, NAMPA, ID 83686-5012
- **Mailing address phone:** (208) 466-3338
- **Mailing address fax:** (208) 466-3554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | P-99 | ID | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | P-99 | ID | — |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 08/25/2008