Organization
IDAHO COMPLETE FOOT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE RAE GEORGE (OWNER)
(208) 681-2353
Entity
Organization
Contact information
Practice address
880 REDMAN ST, CHUBBUCK, ID 83202-2655
(208) 681-2353
Mailing address
880 REDMAN ST, CHUBBUCK, ID 83202-2655
(208) 681-2353
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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