Organization
WALKWELL WALKING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM S STANO D.P.M. (PRESIDENT OF MANAGING MEMBER)
(208) 343-8907
Entity
Organization
Contact information
Practice address
220 W JEFFERSON ST, BOISE, ID 83702-6044
(208) 343-8907
Mailing address
220 W JEFFERSON ST, BOISE, ID 83702-6044
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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