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Organization

BLUE MOUNTAIN FOOT SPECIALISTS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL F BYRD DPM (OWNER)
(541) 276-2372
Entity
Organization

Contact information

Practice address
714 SW DORION AVE, PENDLETON, OR 97801-2086
(541) 276-2372
Mailing address
714 SW DORION AVE, PENDLETON, OR 97801-2086
(541) 276-2372

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DP00171
OR
213ES0103X
Foot & Ankle Surgery Podiatrist
DP00295
OR
213ES0103X
Foot & Ankle Surgery Podiatrist
DP00357
OR
332B00000X
Durable Medical Equipment & Medical Supplies
DP00171
OR
332B00000X
Durable Medical Equipment & Medical Supplies
DP00295
OR
332B00000X
Durable Medical Equipment & Medical Supplies
DP00357
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
162099
OR
05
234444
OR
05
269055
OR
01
480026639
RAILROAD MEDICARE
OR
01
480033064
RAILROAD MEDICARE
OR
01
CJ5600
RAILROAD MEDICARE
OR
01
P00613653
RAILROAD MEDICARE
OR
Enumeration date
01/23/2007
Last updated
03/04/2011
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