Organization
RIDGE MEDICAL GROUP PA
Active
Other names
The Ridge Foot and Ankle Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRADEN JENKINS DPM (PRESIDENT)
(208) 881-2100
Entity
Organization
Contact information
Practice address
2677 E 17TH ST STE 200, AMMON, ID 83406-6612
(208) 741-3660
Mailing address
2677 E 17TH ST STE 200, AMMON, ID 83406-6612
(208) 741-3660
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
09/30/2022
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