# P. ROMAN BURK DPM PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rocky Mountaint Foot & Ankle
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649563347
- **Authorized official:** AMBER D MAHAN (PRACTICE MANANGER)
- **Authorized official phone:** (208) 795-5090

## Contact information

- **Practice address:** 2667 E GALA CT STE 130, MERIDIAN, ID 83642-2788
- **Practice address phone:** (208) 795-5090
- **Mailing address:** 1818 S 10TH AVE STE 250, CALDWELL, ID 83605-4838
- **Mailing address phone:** (208) 855-5955
- **Mailing address fax:** (208) 459-8628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | P197 | ID | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | P197 | ID | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 05/27/2011
- **Last updated:** 09/29/2026