Organization
PODIATRY CARE CENTER OF ONTARIO, LLC
Active
Other names
Podiatry Services of Idaho
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMILLE ELIZABETH HARRIS DPM (CEO)
(208) 463-7732
Entity
Organization
Contact information
Practice address
2449 SW 4TH AVE, STE 203, ONTARIO, OR 97914-1859
(541) 889-8637
(541) 889-4736
Mailing address
1511 W BONNEVILLE CT, NAMPA, ID 83686-9749
(208) 463-7732
(541) 889-4736
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00359
OR
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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