Organization
KOVAC FOOT SURGERY CENTER PLLC
Active
Other names
Idaho Foot Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
KYLIN KOVAC DPM (OWNER)
(208) 529-8393
Entity
Organization
Contact information
Practice address
1540 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
(208) 529-8393
Mailing address
1540 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
(208) 529-8393
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2013
Last updated
05/16/2013
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