# MOUNTAIN VIEW FOOT AND ANKLE SPECIALISTS INC

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

## Provider details

- **NPI number:** 1720590037
- **Authorized official:** SPENCER BOWEN HENINGER DPM (DPM/OWNER)
- **Authorized official phone:** (435) 881-4494

## Contact information

- **Practice address:** 64 N 1ST E STE 200, PRESTON, ID 83263-1326
- **Practice address phone:** (208) 852-3662
- **Practice address fax:** (208) 852-1295
- **Mailing address:** PO BOX 540610, N SALT LAKE, UT 84054-0610
- **Mailing address phone:** (801) 505-0821
- **Mailing address fax:** (801) 505-0803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/26/2017
- **Last updated:** 01/15/2025