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Organization
KOVAC FOOT SURGERY CENTER PLLC
Active
Organization
KOVAC FOOT SURGERY CENTER PLLC
Active
Other names
Idaho Foot Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
KYLIN KOVAC DPM (OWNER)
(208) 529-8393
Entity
Organization
Contact information
Practice address
1540 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
(208) 529-8393
Mailing address
1540 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
(208) 529-8393
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2013
Last updated
05/16/2013
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