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Organization
MADISON FOOT & ANKLE CARE, PA
Active
Organization
MADISON FOOT & ANKLE CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI L BARTON (SECRETARY-TREASURER)
(208) 359-1400
Entity
Organization
Contact information
Practice address
25 MADISON PROFESSIONAL PARK, REXBURG, ID 83440-2057
(208) 359-1400
(208) 356-3387
Mailing address
25 MADISON PROFESSIONAL PARK, REXBURG, ID 83440-2057
(208) 359-1400
(208) 356-3387
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P-146
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8077990
—
ID
Enumeration date
02/13/2007
Last updated
11/01/2007
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