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Organization
FOOT & ANKLE SPECIALISTS OF IDAHO, P.C.
Active
Organization
FOOT & ANKLE SPECIALISTS OF IDAHO, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D PETERSON DPM (DOCTOR OF PODIATRIC MEDICINE)
(208) 346-7443
Entity
Organization
Contact information
Practice address
1277 E 17TH ST, IDAHO FALLS, ID 83404-6126
(267) 644-6880
Mailing address
1277 E 17TH ST, IDAHO FALLS, ID 83404-6126
(208) 346-7443
(208) 346-7442
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
P-223
ID
Other
Enumeration date
06/16/2014
Last updated
09/17/2014
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