# IDAHO FOOT CENTER

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

## Provider details

- **NPI number:** 1306024120
- **Authorized official:** DR. BRUCE G TOLMAN DPM (OWNER)
- **Authorized official phone:** (208) 529-8393

## Contact information

- **Practice address:** 1540 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
- **Practice address phone:** (208) 529-8393
- **Practice address fax:** (208) 529-8398
- **Mailing address:** 1540 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
- **Mailing address phone:** (208) 529-8393
- **Mailing address fax:** (208) 529-8398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | P93 | ID | Yes |

## Other

- **Enumeration date:** 02/04/2008
- **Last updated:** 03/06/2008