Individual
SCOTT GREGORY BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1075 N CURTIS RD STE 300, BOISE, ID 83706-1348
(208) 302-3100
(208) 302-3155
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
279
AR
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2961061
ID
Other
Enumeration date
03/27/2018
Last updated
08/06/2024
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