Organization
IDAHO FOOT CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BUCE G TOLMAN DPM (PHYSICIAN/ PROVIDER)
(208) 529-8393
Entity
Organization
Contact information
Practice address
1540 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
(208) 529-8393
(208) 529-8398
Mailing address
1540 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
(208) 529-8393
(208) 529-8398
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
P93
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0025121
—
ID
Enumeration date
02/21/2013
Last updated
02/21/2013
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