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Organization
RIVERSIDE FOOT AND ANKLE, PLLC
Active
Organization
RIVERSIDE FOOT AND ANKLE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN MOYER DPM (OWNER)
(208) 361-3668
Entity
Organization
Contact information
Practice address
671 E RIVERPARK LN STE 110, BOISE, ID 83706-4000
(208) 361-3668
Mailing address
10400 W OVERLAND RD, BOISE, ID 83709-1433
(208) 361-3668
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
Other
Enumeration date
10/08/2026
Last updated
10/08/2026
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