Individual
JOHN D FOOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
910 NW 16TH STREET, STE 205, FRUITLAND, ID 83619
(208) 452-3111
(208) 452-3666
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 452-3111
(208) 452-3666
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
26309
OR
207X00000X
Orthopaedic Surgery Physician
Primary
M-10864
ID
207X00000X
Orthopaedic Surgery Physician
MD26309
OR
Other
Enumeration date
10/18/2005
Last updated
02/19/2016
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