Organization
BOISE FOOT AND ANKLE GROUP
Active
Organization
BOISE FOOT AND ANKLE GROUP
Active
Parent organization
BLACKMER FOOT AND ANKLE GROUP PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
BLACKMER FOOT AND ANKLE GROUP PA
Authorized official
DAVID A BLACKMER DPM (OWNER)
(208) 319-0497
Entity
Organization
Contact information
Practice address
727 E RIVERPARK LN, SUITE 100, BOISE, ID 83706-4069
(208) 319-0497
(208) 323-9070
Mailing address
PO BOX 16820, BOISE, ID 83715-6820
(208) 323-9130
(208) 323-9070
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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